發(fā)布時(shí)間：2018-03-17 20:46

  本文選題：卵巢甲狀腺腫　切入點(diǎn)：畸胎瘤　出處：《中國(guó)醫(yī)學(xué)影像技術(shù)》2017年10期 　論文類(lèi)型：期刊論文

【摘要】：目的探討卵巢甲狀腺腫的常規(guī)超聲及CEUS表現(xiàn)。方法回顧性分析經(jīng)手術(shù)病理證實(shí)的65例卵巢甲狀腺腫患者的常規(guī)超聲表現(xiàn),并探討其中5例CEUS表現(xiàn)特點(diǎn)。結(jié)果 65例患者中,14例(14/65,21.54%)常規(guī)超聲表現(xiàn)為多房囊性占位,49例(49/65,75.34%)表現(xiàn)為囊實(shí)性占位,2例(2/65,3.08%)為實(shí)性占位。39例(39/65,60.00%)病灶內(nèi)見(jiàn)密集網(wǎng)格狀回聲,18例(18/65,27.69%)病灶內(nèi)探及較豐富血流信號(hào)。對(duì)5例行CEUS檢查,包括2例多房囊性病灶,3例囊實(shí)性病灶,均表現(xiàn)為囊壁及分隔呈較均勻中度增強(qiáng);3例囊實(shí)性病灶中1例實(shí)性成分無(wú)增強(qiáng),2例實(shí)性成分呈不均勻的中—高度增強(qiáng),部分實(shí)性成分內(nèi)可見(jiàn)造影劑充盈缺損。所有病灶的囊性部分均無(wú)增強(qiáng)。結(jié)論卵巢甲狀腺腫以多房囊性或囊實(shí)性成分多見(jiàn),由于卵巢甲狀腺腫特殊的病理構(gòu)成,其常規(guī)超聲及CEUS的表現(xiàn)均不典型,術(shù)前診斷困難。
[Abstract]:Objective to investigate the conventional ultrasound and CEUS findings of ovarian goiter. Methods 65 cases of ovarian goiter proved by operation and pathology were analyzed retrospectively. Results 14 out of 65 patients (14 / 65) showed multilocular cystic space occupying in 49 (49 / 49 / 65 / 75.34) and cystic mass in 2 (2 / 65 / 3. 08) as solid occupying position. 39 / 39 cases with 39 / 655 / 60.00.) dense reticular echo was found in the lesions. There were 18 cases with 18 / 65 lesions and 27.69%) with abundant blood flow signals. CEUS was performed in 5 cases. These lesions included 2 cases of multiple cystic lesions and 3 cases of cystic solid lesions. All of them showed homogeneous and moderate enhancement of the cystic wall and septum. In 3 cases, there was no enhancement of solid components in 1 case, and there was no enhancement in 2 cases, and the solid components showed uneven medium to high enhancement in 2 cases. Contrast medium filling defect could be seen in some solid components, and no enhancement was found in the cystic part of all lesions. Conclusion the ovarian goiter is more common in multilocular cystic or solid components, due to the special pathological structure of ovarian goiter. Both conventional ultrasound and CEUS were atypical and difficult to diagnose before operation.
【作者單位】： 四川大學(xué)華西第二醫(yī)院超聲科出生缺陷與相關(guān)婦兒疾病教育部重點(diǎn)實(shí)驗(yàn)室;
【基金】：四川省學(xué)科帶頭人培養(yǎng)基金(2014DTPY001)
【分類(lèi)號(hào)】：R445.1;R737.31

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