CAJ | 학술논문

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。
목적：탐토채색다보륵초성대란소란포막세포류적진단개치。방법대아원2009년1월~2014년3월수치,차경수술병리증실적27례(공28개)란포막세포류환자적이유급채색다보륵초성자료진행회고성분석。결과초성검출25개(89.3%,25/28)란포막세포류,루진3개(10.7%,3/28)。검출적25개종류성상특정：분강탐급변계청초、유완정포막적원형혹류원형단괴,기중22례(88.0%,22/25)정저회성,2례(8.0%,2/25)정무회성,1례(4.0%,1/25)위고회성。제4례(16.0%,4/25)저회성단괴내견불규칙액성구이급1례(4%,1/25)고회성단괴내견강약불등적회성외,기여20례(80.0%,20/25)내부회성균균。후방회성쇠감11례(44.0%,11/25)。7례(28.0%,7/25)단괴내부미탐급채색다보륵혈류신호,17례(68.0%,17/25)탐급소허혈류신호,1례(4.0%,1/25)혈류신호교봉부。결론채색다보륵초성대란포막세포류적진단구유교고적림상개치。
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.