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目的探讨经腹、经阴道超声诊断及鉴别诊断卵巢表面浆液性乳头状癌的应用价值。方法对24例卵巢表面浆液性乳头状癌的病史、临床表现、彩色多普勒图像特征、手术及病理资料进行回顾性分析,寻找影像学的特征性表现。结果卵巢表面浆液性乳头状癌的声像图及血流表现有3种类型:①卵巢体积稍大,回声致密,血流呈低速低阻型,表面可见乳头状赘生物。②卵巢实质内或表面可见大小不等的囊泡。③卵巢形态不规则,血流呈高速低阻型,周围有肠管粘连。结论根据卵巢表面浆液性乳头状癌的3种特征性表现,应用彩色多普勒超声检查可提高诊断及鉴别诊断的阳性率。
Objective To investigate the value of transabdominal and transvaginal sonography in the diagnosis and differential diagnosis of ovarian serous papillary carcinoma. Methods The histopathology, clinical manifestations, color Doppler imaging features, surgical and pathological data of 24 cases of ovarian serous papillary carcinoma were retrospectively analyzed to find out the characteristic manifestation of imaging. Results Ovarian serous papillary carcinoma of the sonography and blood flow performance of the three types: ① ovarian size slightly larger, dense echoes, blood flow was low-speed low resistance type, the surface can be seen papillary neoplasm. ② Ovarian parenchyma or surface within the visible size of vesicles. ③ irregular ovary, blood flow was high-speed low-resistance type, intestinal adhesions around. Conclusion According to three characteristic features of ovarian surface serous papillary carcinoma, color Doppler ultrasound can improve the diagnostic and differential diagnosis of the positive rate.