妇产科疾病的超声诊断2018教学教案.pptVIP

Submucous myoma with calcification Teratoma Dermoid Tummors（卵巢良性囊性畸胎瘤/皮样囊肿) Pathology ：derives from germ cell，the most common ovarian neoplasm, constituting 20% of ovarian tumors. up to 20% are bilateral. About 80% occur in women of childbearing age. Size ranges from small to 40 cm Unliateral,round to oval mass Contains faty,sebaceous material, hair, cartilage, bone, teeth Clinical: asymptomatic to abdominal pain, enlargement and pressure; pedunculated, subject to torsion Sonography: Cystic/ complex/solid mass, echogenic components; acoustic shadowing Special Ultrasound Findings: 1. A cystic mass: with an echogenic mural nodule 2. A paste sign：particulate liptinite 3. A fluff of hair sign 4. A fat-fluid level sign：with fluid level in the cyst, fat above, fluid below. 5. A complex mass cystic teratoma of ovary A cystic mass Paste sign Fluff of hair sign Paste sign Fat-fluid level sign A complex mass A 8 years old girl, cutting off a three kilograms benign teratoma The role of Ultrasound in Obstetrics TRIMESTERS First trimester = 0 to 12 weeks of gestation Second trimester = 13 to 26 weeks of gestation Third trimester = 27 to 42 weeks of getsation Postterm pregnancy = 42 weeks of gestation Indications for First-Trimester Sonography Confirm presence of intrauterine pregnancy Evaluate for suspected ectopic pregnancy Define cause of vaginal bleeding Determine gestational age Confirm suspected multiple gestations Aid in invasive procedures Evaluate pelvic masses Detect uterine abnormalities Natural pregnancy Nonage pregnancy (First-Trimester) Definition ：Pregnancy before 12 weekend. 5 weeks pregnant— Gestational sac； 6-7 weeks pregnant— Germ; 7-8 Weeks —Primitive heart tube pulse； 8-11 weeks — Yolk sac; 9 weeks — Embryonic, placenta. The Normal First Trimester Sonographic Features of a Normal Gestational Sac Shape: round of oval Position: fundal or middle portion of uterus; a cente