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目的分析妊娠合并卵巢肿瘤的超声声像图特点及临床诊断价值,以减少临床漏诊情况的发生。方法回顾性分析医院2009年1月-2015年4月收治的经产前超声检查疑诊为妊娠合并卵巢肿瘤患者40例的临床资料,并对比超声声像图特征及术后病理检查结果,分析超声检查对妊娠合并卵巢肿瘤的诊断价值。结果术前超声诊断卵巢肿瘤40例(均为单侧肿瘤)。术后病理诊断37例为良性肿瘤,其中成熟性囊性畸胎瘤12例,浆液性囊腺瘤25例,3例未合并卵巢肿瘤。超声诊断妊娠合并卵巢肿瘤的敏感度为100.0%,特异度为0,准确率为92.5%。结论妊娠合并卵巢肿瘤良性居多,无明显症状,超声检查对该病诊断准确率较高,是妊娠妇女首选的检查方法。
Objective To analyze the characteristics and clinical value of ultrasonography in pregnancy with ovarian tumor to reduce the occurrence of clinical missed diagnosis. Methods The clinical data of 40 patients with suspected pregnancy complicated with ovarian tumor who underwent prenatal ultrasound examination from January 2009 to April 2015 in our hospital were retrospectively analyzed. The ultrasonographic features and postoperative pathological findings were analyzed. Diagnostic Value of Ultrasonography in Pregnancy with Ovarian Tumor. Results Preoperative ultrasound diagnosis of ovarian tumors in 40 cases (both unilateral tumors). Pathological diagnosis of 37 cases of benign tumors, including 12 cases of mature cystic teratoma, serous cystadenoma 25 cases, 3 cases did not merge ovarian tumors. The sensitivity of ultrasound diagnosis of pregnancy with ovarian cancer was 100.0%, specificity was 0, and the accuracy rate was 92.5%. Conclusion Pregnancy complicated with benign ovarian tumors, no obvious symptoms, ultrasonography diagnosis of the disease a high rate of accuracy, is the preferred method of pregnancy in pregnant women.