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目的探讨经阴道彩超对卵巢囊性肿瘤诊断的图像特点及手术对照体会分析,分析其误诊原因,以进一步提高对此病的诊断率。方法通过72例85个卵巢囊性肿瘤进行经阴道与经腹部二维超声及彩色多普勒检测,并对比各种卵巢囊性肿瘤的图像特点,并与手术病理诊断对照。结果72例85个卵巢囊性肿瘤患者经阴道彩色多普勒超声诊断与手术病理诊断符合率83.5%(71/85),其中,良性肿瘤69例,恶性肿瘤3例。结论经阴道彩色多普勒超声能清晰显示卵巢囊性肿瘤的部位、大小、形态、内部回声及其与周围脏器的关系,肿瘤周边及内部血流的显示,特别是恶性卵巢肿瘤内部血流的显示明显高于良性肿瘤,组织中血流RI值显著低于良性卵巢肿瘤。
Objective To investigate the characteristics of the diagnosis of ovarian cystic neoplasms by transvaginal ultrasonography and the comparative analysis of the operation and analysis of the causes of misdiagnosis to further improve the diagnosis of the disease. Methods Transvaginal and transabdominal ultrasonography and color Doppler were performed in 72 cases of 85 ovarian cystic tumors. The images of various ovarian cystic tumors were compared and compared with the surgical pathological diagnosis. Results The diagnostic accuracy rate of transvaginal color Doppler ultrasound in 85 cases of ovarian cystic tumors was 83.5% (71/85). There were 69 cases of benign tumors and 3 cases of malignant tumors. Conclusion Transvaginal color Doppler ultrasound can clearly show the location, size, shape, internal echo and the relationship with the surrounding organs, the peripheral and internal blood flow of ovarian cysts, especially the internal blood flow of malignant ovarian tumors Showed significantly higher than benign tumors, tissue RI value of blood flow was significantly lower than benign ovarian tumors.