儿童及青春期卵巢硬化性间质瘤的超声诊断价值.pdfVIP

·1474 · ·全科医生技能发展· 儿童及青春期卵巢硬化性间质瘤的超声诊断价值 史鹏丽，王 丹，国兰兰，李 颖，马灵芝 【摘要】 目的 探讨儿童及青春期卵巢硬化性间质瘤的超声诊断价值。方法 回顾性分析2005 年8 月—2014 年1月于中国医科大学附属第四医院及第二医院5例儿童及青春期卵巢硬化性间质瘤患儿的超声图像特征，均经术后 病理证实。结果 5例肿块均来源于单侧卵巢：左侧3例、右侧2例，超声检查判断正确4 例，另 1例肿块体积较大， 位于盆腹腔中部，超声未辨别出左右侧。肿块大小范围（6.6 cm×5. cm）~ （15.6 cm×12.3 cm），肿块最大直径平 均8.6 cm。5例肿块边界均清晰，呈类圆形或椭圆形，内部回声呈实性2 例，呈囊实混合性3例，实性部分均呈中等 回声，并显示血流丰富，以周边显著。1例伴发腹腔积液。结论 儿童及青春期卵巢硬化性间质瘤的超声图像具有一 定特点，为临床的诊断及鉴别诊断提供了重要的参考信息，可进一步提高儿科和超声科医生对儿童及青春期卵巢硬化 性间质瘤的认识。 【关键词】 超声检查；儿童；青春期；卵巢硬化性间质瘤 【中图分类号】R737.31 【文献标识码】A doi：10.3 6 / j.issn.1007 - 572.2015.12.025 史鹏丽，王丹，国兰兰，等. 儿童及青春期卵巢硬化性间质瘤的超声诊断价值［J］. 中国全科医学，2015，18 （12）：1474 -1476. ［］ Shi PL，Wang D，Guo LL，et al. Value of ultrasound in the diagnosis of ovarian sclerosing stromal tumor in childhood and adolescence ［J］.Chinese General Practice，2015，18 （12）：1474 -1476. Value of UltrasoundintheDiagnosisofOvarianSclerosingStromalTumorinChildhoodandAdolescence SHIPeng -li， WANGDan，GUO Lan - lan，et al. DePartment of Ultrasound，the Fourth Affiliated HosPital of hina Medical University， Shenyang 110032， hina 【Abstract】 Objective To explorethevalueof ultrasoundinthediagnosisof ovarian sclerosing stromaltumor （OSST） in childhood and adolescence.Methods The ultrasonic characters of five cases in the Fourth and Second Affiliated Hospital of China Medical University from August 2005 to January 2014 with OSST in childhood and adolescence were analyzed retrospectively，all cases were confirmed by postoperative pathologic results.Results The lumps of the five cases were from unilateral ovarian，lumpsfrom three cases were located on the left hand side，lumps from two cases were located on the right hand side，ultrasonography result of four caseswasright，lump of the rest one casewasrelatively big，it was located in middle abdominopelvic cavity，so ultrasonography did not identify the directionof thelump.The sizerangeof