摘要
目的:分析超声诊断卵巢子宫内膜异位囊肿的准确性及常见、不常见超声误诊为卵巢子宫内膜异位囊肿的疾病及原因。方法:回顾性分析1347例术前超声检查拟诊为卵巢子宫内膜异位囊肿的病例,术后对照超声与病理结果。结果:超声诊断卵巢子宫内膜异位囊肿1301例,符合率为96.4%;被误诊为囊腺瘤27例(浆液性囊腺瘤18例、黏液性囊腺瘤9例),黄体血肿8例,囊性畸胎瘤7例,其它不常见的疾病为卵巢脓肿2例,浆液性腺癌1例、宫内膜样腺癌1例。结论:超声诊断卵巢子宫内膜异位囊肿的准确率较高,但也易与其它疾病混淆,通过临床症状、声像图特征、选择不同时间复查及细节观察是避免误诊的主要措施。
Objective:To evaluate the diagnostic accuracy of heterotopic endometrial cyst and analyze the cowmon and anconanon misdiagnosed diseases. Methods: 1347 cases diagnosed as heterotopic endometrial cyst were compared their pathologic results with their ultra- sonic impressions retrospectively. Results:The diagnostic accuracy of heterotopic endometrial cyst was 96.4 %. The common diseases misdiagnosed included serous cystadenoma, mucinous cystadenoma, corpus luteum cyst, cystic teratoma, ovarian abscess, serous cystadeno-carcinoma, endometrioid carcinoma. Conclusion: Misdiagnosis rate can be reduced by combined cliulcal symptom, ultmsonoscopy and countercheck at different time.
出处
《医学影像学杂志》
2010年第1期96-98,共3页
Journal of Medical Imaging