CAJ | 학술논문

目的：探讨下腹部腹膜后肿物与妇科肿物的超声鉴别诊断价值。方法对2012年1月-2015年3月我院诊治的52例经手术病理证实为下腹部腹膜后肿物女性患者的彩色多普勒超声检查手法、结果及临床资料进行回顾性分析。结果本组超声诊断47例为腹膜后肿物，5例为妇科肿物(其中4例怀疑来源于卵巢，1例怀疑来源子宫)，定位诊断符合率90.4%(47/52)。术后病理恶性肿瘤36例(69.2%)，良性肿瘤16例(30.8%)；经超声诊断恶性肿瘤有34例符合，良性肿瘤有11例符合，定性诊断符合率为86.5%(45/52)。结论根据肿物超声声像图特征并结合临床，可有效提高下腹部腹膜后肿物定位及定性的超声诊断准确率。
목적：탐토하복부복막후종물여부과종물적초성감별진단개치。방법대2012년1월-2015년3월아원진치적52례경수술병리증실위하복부복막후종물녀성환자적채색다보륵초성검사수법、결과급림상자료진행회고성분석。결과본조초성진단47례위복막후종물，5례위부과종물(기중4례부의래원우란소，1례부의래원자궁)，정위진단부합솔90.4%(47/52)。술후병리악성종류36례(69.2%)，량성종류16례(30.8%)；경초성진단악성종류유34례부합，량성종류유11례부합，정성진단부합솔위86.5%(45/52)。결론근거종물초성성상도특정병결합림상，가유효제고하복부복막후종물정위급정성적초성진단준학솔。
ObjectiveTo investigate ultrasonic diagnosis of lower abdominal retroperitoneal neoplasm and its value for differential diagnosis of gynecological tumors.Methods Color doppler ultrasonography results and clinical data about 52 female patients with lower abdominal retroperitoneal neoplasm confirmed by surgery pathology in our hospital from January 2012 to March 2015 were retrospectively analyzed. Results According to the results of ultrasonic diagnosis, 47 cases were retroperitoneal neoplasm, 5 cases were gynecological tumors (among them 4 cases of suspected sources of ovaries, 1 case of suspected sources of uterus), with localization diagnosis coincidence rate of 90.4% (47/52). According to the postoperative pathology, 36 cases (69.2%) were malignant tumor, and 16 cases (30.8%) were benign tumor. In accordance with ultrasound diagnosis, 34 cases were conformed to be malignant tumor, 11 cases were conformed to be benign tumor, and the qualitative diagnosis coincidence rate was 86.5% (45/52).Conclusion The combination of mass ultrasonographic characteristics and clinic can effectively improve the lower abdominal ultrasound diagnostic accuracy rate of localization and qualitative of retroperitoneal neoplasm.