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目的:分析卵巢子宫内膜异位囊肿的超声表现,提高超声诊断及鉴别诊断的能力。方法:收集我院超声诊断为卵巢子宫内膜异位囊肿的40例病历,其中经手术和病理证实的37例卵巢子宫内膜异位囊肿,对其超声表现做回顾性分析。结果:卵巢子宫内膜异位囊肿因囊内结构多变,而且随月经周期相互演变,在声像图上可分为以下五种类型:1单纯囊肿型13例(32.5%);2多囊型12例(30.0%);3囊内均匀光点型5例(12.5%);4囊内团块型6例(15.0%);5混合型4例(10.0%)。结论:超声医师在超声图像特征的基础上紧密结合临床病史及实验室等多方面综合分析提高诊断准确率,尽量减少和避免误诊。
Objective: To analyze the ultrasonographic features of ovarian endometriosis cysts and improve the ability of ultrasound diagnosis and differential diagnosis. Methods: Forty cases of ultrasonographic diagnosis of ovarian endometriosis in our hospital were collected, of which 37 cases of ovarian endometriosis proved by operation and pathology were retrospectively analyzed. Results: Ovarian endometriotic cysts with variable intracapsular structures and their mutual evolution with the menstrual cycle can be divided into the following five types on the sonography: 1 simple cyst type 13 cases (32.5%); 2 polycystic 12 cases (30.0%), 5 cases (12.5%) in 3 cases, 4 cases (15.0%) in 4 cases and 4 cases (10.0%) in 5 cases. Conclusion: Ultrasound physicians based on the characteristics of ultrasound images combined with clinical history and laboratory comprehensive analysis to improve the diagnostic accuracy, minimize and avoid misdiagnosis.