15例盆腔非妇科肿物超声特征及误诊探析.docVIP

精品论文 参考文献 15例盆腔非妇科肿物超声特征及误诊探析 朱佳琳 　　（天津市河西区天津医科大学肿瘤医院超声诊断治疗科 天津 300000） 　　【摘要】 目的：探讨超声多普勒检查对女性非妇科来源的盆腔内肿物的诊断价值。方法：回顾性分析2014年8月至2015年8月我院妇科肿瘤科收入进行手术的15例非妇科盆腔内肿物的超声影像图特点以及其他临床资料。结果：术前超声检查共15例，呈囊实性7例，实性7例，囊性1例;诊断为卵巢肿瘤7例，子宫浆膜下肌瘤5例，盆腔肿物性质待定3例。15例均行手术探查，并经术后病理检查确诊。术后病理检查示15例中肿物来源于胃肠道7例(46.7%)，腹膜后肿瘤6例(40.0%)，其他部位肿瘤2例(13.3%)。结论女性非妇科盆腔肿物术前超声检查易误诊为卵巢肿瘤或子宫浆膜下肌瘤，超声科医师结合其临床特点进行诊断、鉴别诊断及避免思维定式可减少误诊。 　　【关键词】 超声检查；多普勒；盆腔肿物；非妇科 　　【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2016）18-0118-02【Abstract】Objective To explore the diagnostic value of ultrasound examination of female non-genital origin masses in pelvis. Methods The ultra-sonographic features and other clinical data of female non-genital origin masses in 15 patients admitted to our hospital between August 2014 and August 2015 were retrospectively analyzed. Results Preoperative ultrasound examination showed that there were 14 patients. Among these masses, 7 were mixed masses, 7 were solid masses, and 1 was cystic mass. Before operation, ultrasound examination showed ovarian tumors in 7 patients, subserosal uterine fibroids in 6 patients, and pelvic tumors without defined sources in 2 patients. All patients underwent surgical exploration, and were confirmed by pathological examination. Pathological examination revealed that there were 6 patients with masses from digestive system (46.7%), 6 patients with masses from retroperitoneal tumor (40.0%), and 2 patients with masses from other tumors (13.3%). Conclusion Female non-genital origin masses in pelvis are easily misdiagnosed as ovarian tumor and subserosal uterine fibroids by ultrasound examination before operation, ultrasound doctors should pay attention to combining clinical features and avoiding the mindset to reduce misdiagnosis. 　　【Key words】Ultrasonography;Doppler;Pelvic neoplasms;Non-gynecological 　　盆腔肿物是危害妇女身体健康的常见疾患，女性盆腔占位性病变多来源于生殖系统，因而临床医生对于一些来源于女性生殖系统以外的盆腔内肿物缺乏全面的认识和重视，最终导致手术方案选择的失误[1]。此外，由于盆腔内解剖结构的复杂性，疾病种类的多样性，因而盆腔肿物术前诊断难度相对较大。本文通