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目的:探讨超声对女性盆腔囊性肿瘤的鉴别诊断价值和误诊原因分析。方法:应用超声诊断208例女性盆腔囊肿并与手术病理检查对照,部分病例运用彩色多普勒超声观察囊性肿瘤血管分布情况和血流速度等来鉴别囊肿的良、恶性关系。结果:囊性肿瘤因其组织结构的复杂性决定了声像图的多样性,超声诊断与手术病理符合率(含基本符合率)91.35％(190:208),误诊率为8.65％(18:208)。结论:女性盆腔囊肿中具有典型声像图,超声可作出准确的诊断。结合彩色多普勒检查肿瘤内血管分布,血流速度,阻力指数(RI)与搏动指数(PI)等,可鉴别肿瘤的良、恶性。对典型的囊肿,应结合临床和其他方法,综合考虑并分析其误诊原因。
Objective: To investigate the differential diagnosis value and misdiagnosis reason of female pelvic cystic tumor by ultrasound. Methods: 208 cases of female pelvic cysts were diagnosed by ultrasonography and compared with surgical pathology. In some cases, color Doppler ultrasound was used to observe the vascular distribution and blood flow velocity of cystic tumors to identify the relationship between cysts. Results: The cystic neoplasms determined the diversity of ultrasonography because of the complexity of their structures. The coincidence rate of ultrasonography and surgical pathology was 91.35% (190: 208), the rate of misdiagnosis was 8.65% (18: 208). CONCLUSIONS: Female pelvic cysts have typical sonograms that can be accurately diagnosed by ultrasound. Combined with color Doppler examination of intracranial vascular distribution, blood flow velocity, resistance index (RI) and pulsatility index (PI), etc., can identify the benign and malignant tumors. For typical cysts, should be combined with clinical and other methods, comprehensive consideration and analysis of the causes of misdiagnosis.