目的：探讨超声检查对女性非妇科盆腔肿物的诊断价值。方法回顾性分析2008年7月-2013年7月收入我院妇科手术的12例非妇科盆腔肿物的超声声像图特点及其他临床资料。结果术前超声检查12例共13个肿物，呈囊实性7例，实性5例，囊性1例；诊断卵巢肿瘤6例，子宫浆膜下肌瘤4例，盆腔肿物(性质待定)2例。12例均行手术探查，并经术后病理检查确诊。术后病理检查示12例中肿物来源于胃肠道6例(50.0%)，腹膜后肿瘤4例(33.3%)，其他部位肿瘤2例(16.7%)；小肠间质瘤3例，腹膜后平滑肌瘤、腹膜后神经鞘瘤各2例，阑尾黏液腺癌、盆壁侵袭性血管黏液瘤、乙状结肠系膜畸胎瘤、非霍奇金B细胞淋巴瘤及肠系膜巨大囊肿各1例。结论女性非妇科盆腔肿物术前超声检查易误诊为卵巢肿瘤和子宫浆膜下肌瘤，超声科医师结合临床特征进行诊断及避免思维定式可减少误诊。%Objective To explore the diagnostic value of ultrasound examination of female non-genital origin masses in pelvis. Methods The ultrasonographic features and other clinical data of female non-genital origin masses in 12 patients admitted to our hospital between July 2008 and July 2013 were retrospectively analyzed. Results Preoperative ultrasound ex-amination showed that there were 13 masses in 12 patients. Among these masses, 7 were mixed masses, 5 were solid masses, and 1 was cystic mass. Before operation, ultrasound examination showed ovarian tumors in 6 patients, subserosal uterine fi-broids in 4 patients, and pelvic tumors without defined sources in 2 patients. All patients underwent surgical exploration, and were confirmed by pathological examination. Pathological examination revealed that there were 6 patients with masses from di-gestive system (50. 0%), 4 patients with masses from retroperitoneal tumor (33. 3%), and 2 patients with masses from other tumors (16. 7%). And the final diagnosis was small intestine stromal tumors in 3 patients, retroperitoneal leiomyoma in 2 pa-tients, retroperitoneal schwannomas in 2 patients, and mucinous adenocarcinoma of the appendix, pelvic wall aggressive an-giomyxoma, sigmoid mesentery teratoma, non-Hodgkin's B giant-cell lymphoma and mesenteric cyst in one each. Conclusion Female non-genital origin masses in pelvis are easily misdiagnosed as ovarian tumor and subserosal uterine fibroids by ultra-sound examination before operation, ultrasound doctors should pay attention to combining clinical features and avoiding the mindset to reduce misdiagnosis.
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