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超声在妊娠合并卵巢肿瘤患者的诊断价值

冯敏芝 伍诗媚 李建聪

冯敏芝, 伍诗媚, 李建聪. 超声在妊娠合并卵巢肿瘤患者的诊断价值[J]. 分子影像学杂志, 2019, 42(4): 439-443. doi: 10.12122/j.issn.1674-4500.2019.04.04
引用本文: 冯敏芝, 伍诗媚, 李建聪. 超声在妊娠合并卵巢肿瘤患者的诊断价值[J]. 分子影像学杂志, 2019, 42(4): 439-443. doi: 10.12122/j.issn.1674-4500.2019.04.04
Minzhi FENG, Shimei WU, Jiancong LI. Diagnotic and surveillant value of ultrasound in ovarian tumors during pregnancy[J]. Journal of Molecular Imaging, 2019, 42(4): 439-443. doi: 10.12122/j.issn.1674-4500.2019.04.04
Citation: Minzhi FENG, Shimei WU, Jiancong LI. Diagnotic and surveillant value of ultrasound in ovarian tumors during pregnancy[J]. Journal of Molecular Imaging, 2019, 42(4): 439-443. doi: 10.12122/j.issn.1674-4500.2019.04.04

超声在妊娠合并卵巢肿瘤患者的诊断价值

doi: 10.12122/j.issn.1674-4500.2019.04.04
详细信息
    作者简介:

    冯敏芝,主治医师,E-mail:1085788483@qq.com

    通讯作者:

    李建聪,副主任医师,E-mail:1875239998@qq.com

Diagnotic and surveillant value of ultrasound in ovarian tumors during pregnancy

  • 摘要: 目的探讨超声检查在妊娠合并卵巢肿瘤患者的诊断价值。方法回顾性分析2016年1月~2018年12月就诊的48例妊娠患者临床及超声检查资料,年龄20~41岁(30.5±4.7岁),所有患者均在妊娠期超声检查发现并经手术病理证实卵巢肿瘤,总结超声检查在妊娠期卵巢肿瘤诊治的价值。结果48例妊娠合并卵巢肿瘤患者,经超声发现病灶共51例,其中成熟性畸胎瘤28例,粘液性、浆液性囊腺瘤分别为8例、10例,黄体囊肿并出血2例,浆-粘液性肿瘤并内膜样囊肿、单纯性囊肿、甲状腺肿各1例,超声检查可显示各类型病灶特征。肿瘤直径2.2~12.1 cm(5.5±2.1 cm),超声上提示恶性病变3例,提示妊娠合并卵巢肿瘤并发肿瘤蒂扭转或黄体囊肿出血7例。因患者意愿终止妊娠并肿瘤切除3例,因妊娠急腹症、可疑恶变、肿瘤体积较大等采用腹腔镜手术切除卵巢肿瘤共12例,采用期待疗法33例,在剖宫产分娩时进行卵巢肿瘤切除,大部分患者取得良好的妊娠结局。结论超声检查可测量妊娠合并卵巢肿瘤的病灶大小、判断良恶性、鉴别组织学来源、有无合并症、并对妊娠过程中卵巢肿瘤进行动态监测,为临床决策提供关键证据。

     

  • 图  1  右侧卵巢等回声包块

    女,32岁,停经8周,发现右侧附件包块;超声检查发现右侧卵巢见等回声包块,大小约39 mm×30 mm,边界清晰,内回声欠均匀,CDFI示包块内条状血流信号,RI 0.34;注意宫腔内可见胚芽;因怀疑肿块为恶性病变,4周后进行手术切除,病理结果为右侧卵巢交界浆液性囊腺瘤.

    图  2  良性肿瘤特殊,病灶体积稳定

    女,27岁,孕24周发现右侧附件包块. A:右侧宫旁见一囊性包块,大小约35 mm×32 mm,边界清淅,透声好,后方回声增强. CDFI内未见血流信号;B:孕36周时复查,包块未见明显增大. 因肿块较小,且无明显恶性征象,采用期待疗法;孕38周剖宫产分娩时行手术切除包块,病理证实为右侧卵巢囊性畸胎瘤.

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出版历程
  • 收稿日期:  2019-09-11
  • 刊出日期:  2019-12-01

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