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患者,58岁,主因下腹憋胀十余天就诊。妇科检查:子宫水平位,萎缩,于子宫左前方可触及200×200×180mm大小的肿物,表面欠光滑,活动欠佳,无压痛。临床拟诊:左侧卵巢肿物性质待查,建议B超检查。 应用美国LOGIQ 200型B超诊断仪,3.5MHz探头扫查:子宫水平位,萎缩,于子宫左侧见180×154mm的椭圆形囊性肿物,内见数条光带将其分为多房,并见散在的强回声光点、光斑,肿物边界清楚,壁薄,稍欠光滑,后方见增强效应。右附件区正常。超声提示:1.左侧卵巢囊肿(考虑多房性粘液性囊腺瘤);2.子宫右附件未见异常。 未经任何治疗,一周后该患无明显诱因出现下腹憋胀加重伴疼痛前来复诊,应用同型号B超诊断仪扫查:子宫水平位,萎缩,于子宫左侧探及一60×51mm的椭圆形无回声肿
Patients, 58 years old, mainly due to lower abdominal bloating more than ten days treatment. Gynecological examination: Uterine level, atrophy, in the left front of the uterus can reach 200 × 200 × 180mm size of the tumor, the surface is less smooth, poor activity, no tenderness. Clinical diagnosis: the nature of the left ovarian tumor to be investigated, it is recommended B-ultrasound. Application LOGIQ 200 B ultrasonic diagnostic apparatus, 3.5MHz probe scan: Uterine level, atrophy, see the left side of the uterus, 180 × 154mm oval cystic mass, see the number of light within the band will be divided into multiple rooms , And see the scattered echogenic light spot, spot, clear tumor boundary, thin wall, slightly less smooth, see the rear enhancement effect. Right attachment area is normal. Ultrasound tips: 1. Left ovarian cyst (consider multilocular mucinous cystadenoma); 2. Uterine right attachment was normal. Without any treatment, one week later, there was no obvious incentive to suffer from lower extremity bloating with pain. The same type of B-ultrasound scan: uterine level, atrophy, left uterine exploration and a 60 × 51mm Oval anechoic swollen