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目的探讨卵巢内胚窦瘤的临床及超声特点,提高诊断准确率。方法回顾分析经病理证实为卵巢内胚窦瘤6例的临床资料与超声表现。结果6例患者主要表现为腹胀及盆腹部包块,甲胎蛋白(AFP)值均有不同程度升高。其中有5例超声表现为囊实混合性,实性部分及分隔上可检出血流。1例表现为实性,能检出丰富血流。结论结合卵巢内胚窦瘤的超声表现与升高的AFP值可提高本病诊断的准确率,但要注意与其他疾病相鉴别。
Objective To investigate the clinical and ultrasonic characteristics of ovarian endodermal sinus tumor and improve the diagnostic accuracy. Methods The clinical data and ultrasonographic findings of 6 cases of ovarian endodermal sinus tumor confirmed by pathology were retrospectively analyzed. Results The main manifestations of 6 patients were abdominal distension and pelvic abdomen masses. The AFP values increased to some extent. Among them, 5 cases showed cystic solidity by ultrasound, and the blood flow could be detected in the solid part and the separation. 1 case showed solid, can detect rich blood flow. Conclusion Combined ultrasound findings of ovarian endodermal sinus tumor and elevated AFP value can improve the diagnostic accuracy of this disease, but should pay attention to differentiate from other diseases.