摘要
目的研究女童卵巢蒂扭转实施彩色多普勒超声诊断的效果及临床价值。方法选取我院2009年9月至2019年9月提供的30例卵巢蒂扭转女童作为研究对象,对患儿先行展开常规二维超声检查,而后展开彩色多普勒超声检查。对比两组检查方式的诊断准确率与图像诊断特征。结果纳入的30例卵巢蒂扭转女童中,在通过常规二维超声诊断下,患儿诊断准确率为63.3%(19/30),诊断误诊率为36.7%(11/30)。而施行经彩色多普勒超声检查诊断下,患儿诊断准确率为93.3%(28/30),诊断误诊率仅为6.67%(2/30)。彩色多普勒超声检查诊断准确率显著高于常规二维超声检查,差异具有显著性(P<0.05)。经彩色多普勒超声检查诊断图像显示,有11例患儿诊断显示囊壁发生增厚表象,增厚厚度数值为0.4~0.8cm;13例患儿诊断期间出现囊内透声性变弱;余下有2例患儿出现混合性团块,4例出现扭转部位回声表象。结论给予女童卵巢蒂扭转患儿彩色多普勒超声诊断方式,其诊断准确率显著高于常规二维超声诊断,且在回声、团块等表象中诊断更加清晰。能够在卵巢蒂扭转患儿早期给予准确诊断、尽早治疗,对患儿预后生活具有至关重要的意义。
Objective To study the effect and clinical value of color Doppler ultrasound diagnosis of girls’ovarian pedicle torsion.Methods Thirty cases of ovarian pedicle twisting girls provided by our hospital from September 2009 to September 2019 were selected as the research object.The patients were first subjected to routine two-dimensional ultrasound examination,and then color Doppler ultrasound examination was carried out.Then compared the diagnostic accuracy and image diagnostic characteristics of the two groups of examination methods.Results Among the 30 girls with ovarian pedicle torsion,the diagnostic accuracy of the children under conventional two-dimensional ultrasound was 63.3%(19/30),and the misdiagnosis rate was 36.6%(11/30).Under the diagnosis of color Doppler ultrasonography,the diagnostic accuracy of the children was 93.3%(28/30),and the misdiagnosis rate was only 6.67%(2/30).The diagnostic accuracy of color Doppler ultrasound is significantly higher than that of conventional two-dimensional ultrasound,and the difference is significant(P<0.05).According to the color Doppler ultrasound diagnosis images,11 patients were diagnosed with the appearance of thickening of the cyst wall,and the thickness of the thickening was 0.4-0.8 cm;13 patients had weakened intrasaccular sound permeability during diagnosis;In the remaining 2 cases,there were mixed masses,and in 4 cases,the echo of the torsion site appeared.Conclusion The diagnosis accuracy of color Doppler ultrasound given to girls with ovarian pedicle torsion is significantly higher than that of conventional two-dimensional ultrasound diagnosis,and the diagnosis is more clear in the appearance of echo and clumps.Being able to give accurate diagnosis and early treatment in children with ovarian pedicle torsion early is of vital importance to the prognosis of children.
作者
张碧宏
史妙丽
李振红
钟文乐
黎天明
ZHANG Bi-hong;SHI Miao-li;LI Zhen-hong;ZHONG Wen-le;LI Tian-ming(Department of Ultrasound,Boai Hospital of Zhongshan City,Zhongshan,Guangdong 528403)
出处
《智慧健康》
2020年第20期6-7,10,共3页
Smart Healthcare
关键词
女童
卵巢
蒂扭转
彩色多普勒超声
常规二维超声
Girls
Ovaries
Pedicle torsion
Color Doppler ultrasound
Conventional two-dimensional ultrasound
