卵巢交界性囊腺瘤的超声诊断价值

目的 探讨超声对卵巢交界性囊腺瘤的诊断价值。 方法 回顾分析了47例经手术病理证实为卵巢交界性囊腺瘤的病例,其中27例诊断为交界性浆液性囊腺瘤,7例发生局部癌变,20例诊断为交界性黏液性囊腺瘤,6例发生局部癌变,分析两种类型超声表现及发生局部癌变的声像图特征。 结果 交界性浆液性囊腺瘤表现以囊实性和囊内乳头为主； 交界性黏液性囊腺瘤主要表现为网状分隔、囊内乳头和囊实性；局部癌变发生在囊实性和网状分隔类,与双侧发生、实性成分大小和年龄有相关性。 结论 交界性囊腺瘤声像图表现有其特征性表现,根据这些特征,可提高超声可在术前诊断符合率,判断有无癌变的可能性,有较高的诊断价值和临床意义。

Clinical value of Ultrasonic diagnosis on borderline ovarian cystadenoma

Objective: To explore the clinical diagnostic value of ultrasound on borderline ovarian cystadenoma. Methods: Retrospective analysis was performed on 47 cases of borderline ovarian cystadenoma which were proved by surgery. Focal canceration was found in 7 from 27 cases of borderline serous cystadenoma, and 6 casese of focal canceration in 20 cases of grume borderline cystadenoma, and the ultrasonic features were analyzed and compared between two different types of borderline ovarian cystadenoma. Results: Cystic and solid components were found in borderline serous cystadenoma, and net partition, Pouch nipples and cystic and solid components were shown in grume borderline cystadenoma. Focal canceration was found in the partition of the cystic and solid components, which is associated with the bilateral lesions, the size of the solid part and the age. Conclusions: It is of great clinical value to improve the diagnotic accuracy preoperation and caneration according to the specific ultrasonic features of borderline ovarian cystadenoma.