首页> 中文期刊> 《解放军医学院学报》 >浅析下腹部腹膜后肿物与妇科肿物的超声鉴别诊断价值

浅析下腹部腹膜后肿物与妇科肿物的超声鉴别诊断价值

         

摘要

目的:探讨下腹部腹膜后肿物与妇科肿物的超声鉴别诊断价值。方法对2012年1月-2015年3月我院诊治的52例经手术病理证实为下腹部腹膜后肿物女性患者的彩色多普勒超声检查手法、结果及临床资料进行回顾性分析。结果本组超声诊断47例为腹膜后肿物,5例为妇科肿物(其中4例怀疑来源于卵巢,1例怀疑来源子宫),定位诊断符合率90.4%(47/52)。术后病理恶性肿瘤36例(69.2%),良性肿瘤16例(30.8%);经超声诊断恶性肿瘤有34例符合,良性肿瘤有11例符合,定性诊断符合率为86.5%(45/52)。结论根据肿物超声声像图特征并结合临床,可有效提高下腹部腹膜后肿物定位及定性的超声诊断准确率。%ObjectiveTo investigate ultrasonic diagnosis of lower abdominal retroperitoneal neoplasm and its value for differential diagnosis of gynecological tumors.Methods Color doppler ultrasonography results and clinical data about 52 female patients with lower abdominal retroperitoneal neoplasm confirmed by surgery pathology in our hospital from January 2012 to March 2015 were retrospectively analyzed. Results According to the results of ultrasonic diagnosis, 47 cases were retroperitoneal neoplasm, 5 cases were gynecological tumors (among them 4 cases of suspected sources of ovaries, 1 case of suspected sources of uterus), with localization diagnosis coincidence rate of 90.4% (47/52). According to the postoperative pathology, 36 cases (69.2%) were malignant tumor, and 16 cases (30.8%) were benign tumor. In accordance with ultrasound diagnosis, 34 cases were conformed to be malignant tumor, 11 cases were conformed to be benign tumor, and the qualitative diagnosis coincidence rate was 86.5% (45/52).Conclusion The combination of mass ultrasonographic characteristics and clinic can effectively improve the lower abdominal ultrasound diagnostic accuracy rate of localization and qualitative of retroperitoneal neoplasm.

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