黄江华　胡杨　陈思佳　刘学彬

【摘 要】目的：探究在卵巢肿瘤蒂扭转检查中超声的诊断作用和价值。方法：选取卵巢肿瘤蒂扭转患者50例，均采用超声检查并对患者的声像图进行综合分析。结果：所有患者经病理学切片证实均为囊性或为囊性为主的囊实混合性肿块。超声检查结果中包含黏液性囊腺瘤10例，浆液性囊腺瘤10例，囊性畸胎瘤2例，子宫内膜异位囊肿7例以及单纯性囊肿15例;肿块直径4.7～12cm，其中肿块壁增厚者28例，检查其包块内无血流者32例，子宫直肠陷凹积液者32例，肿块周边或者其髂窝处积液者5例，上述结果与手术的病理学检查结果的符合率为88.00%（44/50）。结论：作为非侵入式的检查手段，卵巢肿瘤蒂扭转的检查中超声检查可作为首选方法，其声像图特征对于患者的诊断具有重要的参考价值，可作为鉴别诊断的依据。

【关键词】卵巢肿瘤;蒂扭转;检查;超声;诊断

Ultrasonography and Diagnosis of Nest Tumor Pedicle Torsion

Huang Jianghua，Hu Yang，Chen Sijia，Liu Xuebin（Department of Ultrasound，Nanchong Central Hospital，Sichuan637000）

Abstract： .Objective：To explore the diagnostic value of ultrasonography in pedicle torsion of ovarian tumors.Method：50patients with torsion of ovarian tumors pedicle were selected. Ultrasound examination was used and the sonograms of the patients were analyzed comprehensively.Result：All patients were confirmed by pathological section to be cystic or cystic mixed mass. Ultrasonographic findings included10cases of mucinous cystadenoma，10cases of serous cystadenoma，2cases of cystic teratoma，7cases of endometriosis cyst and15cases of simple cyst. The diameter of the mass ranged from4.7cm to12cm，including28cases with thickened wall，32cases with no blood flow in the mass，32cases with hydrocele in the pit of uterus and rectum，32cases with periphery or iliac fossa of the mass. There were5cases of effusion. The coincidence rate between the above results and the pathological findings was88.00% （44/50）.Conclusion：As a non-invasive means of examination，ultrasonography can be the first choice in the detection of pedicle torsion of ovarian tumors. Its ultrasonographic features have important reference value for the diagnosis of patients and can be used as a basis for differential diagnosis.

Keywords： Ovarian neoplasms; Pedicle torsion; Examination; Ultrasound; Diagnosis

【中图分类号】R714.25【文献标识码】A【文章编号】1672-3783（2019）12-03--01

目前，在临床上卵巢肿瘤蒂扭转作为一种较为常见的妇科急腹症，患者中大约有10%的卵巢肿瘤会出现蒂扭转，且一旦患者的卵巢肿瘤出现蒂扭转，其动静脉血供将受阻，由此而会引发卵巢肿瘤的广泛性水肿，严重者会导致出血坏死，因而在其治疗中一般需要对其进行手术切除[1]。

本研究中将本院2017年1月至2019年1月之间收治的经病理学切片确诊的卵巢肿瘤蒂扭转患者50例纳入研究，并对其病理学资料和超声影像资料进行比对分析，现对研究报道如下。

1 资料与方法