论文部分内容阅读
目的探讨女性盆腔肿块超声误诊原因,以提高盆腔肿块的超声诊断符合率。方法回顾分析超声误诊16例女性盆腔肿块的临床资料和超声图像特征,并与手术病理结果或临床随访结果相对照。结果 16例误诊病例,手术病理证实15例,临床随访证实1例;11例为生殖系统肿块,其中2例黄体出血分别误诊为卵巢畸胎瘤和巧克力囊肿,1例残角子宫误诊为卵巢巧克力囊肿,1例子宫直肠窝内膜异位误诊为卵巢癌,1例陈旧性宫外孕误诊为盆腔炎性包块,2例盆腔结核误诊为卵巢癌,2例卵巢癌分别误诊为盆腔结核和子宫浆膜下肌瘤,子宫浆膜下肌瘤和阔韧带肌瘤各1例误诊为卵巢肿瘤;5例为非生殖系统肿块,其中2例腹膜后平滑肌瘤分别误诊为卵巢肿瘤和子宫肌瘤,1例直肠癌误诊为子宫肿瘤,1例小肠系膜间质瘤误诊为卵巢肿瘤,1例肠系膜囊肿误诊为卵巢囊肿。结论女性盆腔肿块超声检查临床经验不足者易误诊,鉴别诊断时要注意结合病史、月经史、临床表现、实验室检查和其他影像资料,掌握盆腔肿块临床病理、声像图特征,辨别肿块与卵巢、子宫等重要脏器的关系,做好随访观察。
Objective To investigate the causes of misdiagnosis of female pelvic mass in order to improve the coincidence rate of ultrasonic diagnosis of pelvic mass. Methods The clinical data and ultrasonic imaging features of 16 cases of female pelvic masses misdiagnosed by ultrasound were retrospectively analyzed and compared with the results of surgical pathology or clinical follow-up. Results 16 cases were misdiagnosed, 15 cases were confirmed by operation and pathology, 1 case was clinically followed up, 11 cases were reproductive system mass, 2 cases of which were misdiagnosed as ovarian teratoma and chocolate cyst, 1 case of residual angle uterus misdiagnosed as ovary chocolate 1 case of uterine rectum misdiagnosed as endometriosis ovarian cancer, 1 case of old ectopic pregnancy misdiagnosed as pelvic inflammatory mass, 2 cases of pelvic tuberculosis misdiagnosed as ovarian cancer, 2 cases of ovarian cancer were misdiagnosed as pelvic tuberculosis and uterine pulp 1 case of submucous myoma, 1 case of subserosal fibroids and broad ligament myoma were misdiagnosed as ovarian tumors, 5 cases of non-reproductive system mass, of which 2 cases of retroperitoneal leiomyoma were misdiagnosed as ovarian tumors and uterine fibroids, A case of rectal cancer misdiagnosed as uterine cancer, one case of mesenchymal stromal misdiagnosed as ovarian cancer, one case of mesenteric cyst misdiagnosed as ovarian cysts. Conclusions Female pelvic lumps are often misdiagnosed as clinical inexperienced. Ultrasonography should pay attention to the clinical pathology and sonographic features of pelvic lumps in combination with history, menstrual history, clinical manifestations, laboratory tests and other imaging data to distinguish between lumps and ovaries , Uterus and other important organs, good follow-up observation.