CAJ | 학술논문

目的:探讨灰阶超声诊断卵巢囊性畸胎瘤的价值.材料和方法:对83例拟诊卵巢囊性畸胎瘤患者行灰阶超声检查,并与手术病理结果作对照.结果:灰阶超声拟诊卵巢囊性畸胎瘤83例,肿瘤91个,声像图特征分为6种类型:类囊肿型、类实质型、囊内面团征、囊内发团征、囊内脂液分层征、囊内杂乱征,其诊断符合率分别为81.0%、77.8%、96.2%、100%、100%和70.0%,超声诊断与术后病理诊断符合率为89.0%(81/91),漏误诊率为11.0%(10/91).结论:灰阶超声特异征象对卵巢成熟性囊性畸胎瘤具有重要的诊断价值,但需与卵巢巧克力囊肿、卵巢黏液性囊腺瘤等进行鉴别.
목적:탐토회계초성진단란소낭성기태류적개치.재료화방법:대83례의진란소낭성기태류환자행회계초성검사,병여수술병리결과작대조.결과:회계초성의진란소낭성기태류83례,종류91개,성상도특정분위6충류형:류낭종형、류실질형、낭내면단정、낭내발단정、낭내지액분층정、낭내잡란정,기진단부합솔분별위81.0%、77.8%、96.2%、100%、100%화70.0%,초성진단여술후병리진단부합솔위89.0%(81/91),루오진솔위11.0%(10/91).결론:회계초성특이정상대란소성숙성낭성기태류구유중요적진단개치,단수여란소교극력낭종、란소점액성낭선류등진행감별.
Purpose To investigate the diagnostic value of gray-scale ultrasound on ovarian cystic teratoma.Materials and Methods 83 patients with primary diagnosis of ovarian cystic teratoma underwent gray-scale ultrasonography. The ultrasonic images were compared with postoperative pathologic results. Results 91 cases of 83 lesions were detected. The ultrasonic features were categorized into 6 types: cystoid, solid-like, intracystic dough sign, intracystic hair-ball, intracytic fat-fluid level, and intracytic cluttering sign. The diagnose accordance rate for each sign was 81.0%, 77.8%, 96.2%, 100% and 70.0% respectively. The diagnose accordance rate of ultrasonic diagnosis compared with pathologic results was 89.0% (81/91), and misdiagnosed rate and rate of missing diagnosis was 11.0% (10/91). Conclusion The ultrasonic features of ovarian cystic mature terotoma were of importance diagnostic value, whereas differentiation with ovarian chocolate cysts and ovarian mucus-cystic adenoma should be made cautiously.