180例卵巢肿瘤患者经阴道彩色多普勒超声诊断结果分析

目的:探讨超声诊断卵巢肿瘤的诊断经验,进一步提高诊断水平。方法:收集我院2012年9月-2013年8月经手术或病理检查确诊的180例卵巢肿瘤患者对其超声检查情况进行回顾性分析。结果:本组180例患者,良性肿瘤162例,占90.0%,恶性肿瘤18例,占10.0%,良性肿瘤图像表现肿块包膜完整,边界清楚,形态规则,肿块内回声规则,阻力指数(RI)为(0.67±0.13)大于0.4,搏动指数(PI)均大于1.0,最大血流速度(PSV)均小于15cm/s。恶性肿瘤的超声图像表现为肿瘤边缘不整,欠清晰,结构紊乱,隔增厚不整齐,多呈乳头状突起,边界形态不规则,内部回声不均。阻力指数(RI)为(0.38±0.02),均小于0.4,搏动指数(PI)小于1.0,最大血流速度(PSV)均大于15cm/s。结论:超声是诊断卵巢肿瘤具有无痛、可重复性强等优点,值得临床推广。

Ultrasonic Diagnosis Analysis 180 Cases of Ovarian Tumor Patients

Objective： To study the ultrasonic diagnosis of ovarian tumor diagnosis experience, turther improve the diagnostic level. Methods： Collected from September 2012.9 to 2013.8 menstruation surgeries or pathological examination confirmed 800 cases of the ultrasound in patients with ovarian tumors were retrospectively analyzed. Results： All 180 patients, 162 cases of benign tumor, accounting for 90.0%, 18 cases of malignant tumor （10.0%）, benign tumor capsular complete image performance, border and clear, the morphological rules, within the echo rules, resistance index （RI） was （0.67＋/-0.13） were greater than 0.67, the pulsation index （PI） are greater than 1.0, the maximum blood flow velocity （PSV） are less than 15cm/s. Malignant tumor ultrasound images show the tumor edge is not the whole, less clear, structure disorder, irregular thickening, more show papillae, boundary shape is irregular, internal echo. Resistance index （RI） was （0.38＋/-0.02）, were less than 0.4, the pulsation index （PI） are less than 1.0, the maximum blood flow velocity （PSV） were greater than 15cm/s. Conclusion： Ultrasound is the diagnosis of ovarian cancer has the advantages of painless, strong repeatability, worth clinical promotion.