摘要
目的:探讨彩色多普勒超声对卵巢卵泡膜细胞瘤的诊断价值。方法对我院2009年1月~2014年3月收治,且经手术病理证实的27例(共28个)卵泡膜细胞瘤患者的二维及彩色多普勒超声资料进行回顾性分析。结果超声检出25个(89.3%,25/28)卵泡膜细胞瘤,漏诊3个(10.7%,3/28)。检出的25个肿瘤声像特征:盆腔探及边界清楚、有完整包膜的圆形或类圆形团块,其中22例(88.0%,22/25)呈低回声,2例(8.0%,2/25)呈无回声,1例(4.0%,1/25)为高回声。除4例(16.0%,4/25)低回声团块内见不规则液性区以及1例(4%,1/25)高回声团块内见强弱不等的回声外,其余20例(80.0%,20/25)内部回声均匀。后方回声衰减11例(44.0%,11/25)。7例(28.0%,7/25)团块内部未探及彩色多普勒血流信号,17例(68.0%,17/25)探及少许血流信号,1例(4.0%,1/25)血流信号较丰富。结论彩色多普勒超声对卵泡膜细胞瘤的诊断具有较高的临床价值。
Objective To probe the diagnostic value of ovary thecoma detected by color Doppler ultrasound.Methods The ultrasonic imagings of 28 ovary thecoma carried by 27 patients who were admit ed to our hospital between January 2009 and March 2014 were retrospectively analyzed.Al the tumors were resected and proved by pathologhy.Results Twenty-five cases of ovarian thecome were detected by the ultrasound while 3 cases were not detected.The ultrasonic images showed that the masses were round or like-round with clear boundary and regular shape in the pelvic.Twenty-two cases(88.0%)were hypoechoic,while 2 cases(8.0%)were evenechoic and 1 case(4.0%)was hyperechoic.Except for the irregular liquid echo could be detected in 4 cases of hypoechoic masses and higher and lower mixed echo be detected inside 1 case of the hyperechoic mass,even echoes were detected in 20 other cases.The posterior acoustic at enuation could be detected in 11 of 25 cases(44.0%).There was no obvious CDFI signal in 7 cases(28.0%)and less CDFI signal inside the masses of 17 cases(68.0%).Only 1 case was ful of plenty CDFI signal inside the mass.Conclusion Color Doppler is of great clinical value in the diagnosis of ovarian thecoma.
作者
黄伟钦
唐丽娜
沈友洪
张宁
尚志红
吴周贵
王瑶琴
HUANG Wei-qin;TANG Li-na;SHEN You-hong;ZHANG Ning;SHANG Zhi-hong;WU Zhou-gui;WANG Yao-qin(Department of Ultrasound,Fujian Provincial Tumor Hospital,Fuzhou 350014,Fujian,China)
