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为研究超声对卵巢肿瘤蒂扭转诊断的临床价值,最终寻找出一些超声诊断规律,对85例经手术和病理证实的卵巢肿瘤蒂扭转患者临床资料和声像图表现进行分析。结果发现小于20岁组、20~40岁组与大于40岁组比较,分别有高度显著性差异(P值<0.01)或显著性差异(P值<0.05)。所有患者超声图像有如下共同特征:①患侧卵巢消失,盆腔及下腹部发现异常包块;②包块多位于腹正中线及子宫前方或在盆底;③包块中等大小(平均9.1cm),以囊性及混合性多见;④包块中彩色血流减少或消失;⑤患侧探头触痛试验阳性,部分病例可伴有子宫直肠陷凹积液。超声诊断符合率为85%(72/85)。这些特征为本病及时诊断以及与不同的盆腔包块鉴别诊断提供了可靠的依据
In order to study the clinical value of ultrasound in the diagnosis of pedicle torsion in ovarian tumors, we finally found some ultrasonic diagnostic rules and analyzed the clinical data and sonographic findings of 85 patients with torsion of ovarian tumors confirmed by surgery and pathology. The results showed that there was highly significant difference (P <0.01) or significant difference (P <0.05) between 20-year-old group and 20-40-year-old group and 40-year-old group respectively. All patients had the following common features of ultrasound images: ① ipsilateral ovarian disappearance of the pelvic and lower abdomen found abnormal mass; ② mass in the abdomen and the uterus in the midline or in the pelvic floor; ③ mass size (average 9.1cm ), To cystic and mixed more common; ④ mass in the mass of blood flow to reduce or disappear; ⑤ ipsilateral probe tenderness test positive, in some cases may be accompanied by uterine rectal sagging fluid. The coincidence rate of ultrasonic diagnosis was 85% (72/85). These features provide a reliable basis for timely diagnosis of this disease and differential diagnosis of pelvic masses