儿童及青春期卵巢硬化性间质瘤的超声诊断价值

发布时间：2018-04-22 12:52

本文选题：超声检查 + 儿童　；参考：《中国全科医学》2015年12期

【摘要】：目的探讨儿童及青春期卵巢硬化性间质瘤的超声诊断价值。方法回顾性分析2005年8月—2014年1月于中国医科大学附属第四医院及第二医院5例儿童及青春期卵巢硬化性间质瘤患儿的超声图像特征,均经术后病理证实。结果 5例肿块均来源于单侧卵巢:左侧3例、右侧2例,超声检查判断正确4例,另1例肿块体积较大,位于盆腹腔中部,超声未辨别出左右侧。肿块大小范围(6.6 cm×5.9 cm)~(15.6 cm×12.3 cm),肿块最大直径平均8.6 cm。5例肿块边界均清晰,呈类圆形或椭圆形,内部回声呈实性2例,呈囊实混合性3例,实性部分均呈中等回声,并显示血流丰富,以周边显著。1例伴发腹腔积液。结论儿童及青春期卵巢硬化性间质瘤的超声图像具有一定特点,为临床的诊断及鉴别诊断提供了重要的参考信息,可进一步提高儿科和超声科医生对儿童及青春期卵巢硬化性间质瘤的认识。
[Abstract]:Objective to evaluate the value of ultrasonography in diagnosis of ovarian sclerosing stromal tumors in children and adolescents. Methods the ultrasonographic features of 5 children and adolescent children with ovarian sclerosing stromal tumors (OIST) from August 2005 to January 2014 in the fourth affiliated Hospital and the second Hospital of China Medical University were retrospectively analyzed. Results all the tumors originated from one side of ovary: left 3 cases, right 2 cases, right 4 cases, the other 1 big mass, located in the central part of the pelvis and abdominal cavity, the left and right sides were not distinguished by ultrasound. The tumor size was 6.6cm 脳 5.9 cm)~(15.6 cm 脳 12.3 cm ~ (-1). The mean maximum diameter of the mass was 8.6 cm.5. The margin of the tumor was clear, round or oval in shape, solid in 2 cases, mixed with cyst in 3 cases. The solid part was medium echo and showed abundant blood flow. Peripheral effusion was found in 1 cases. Conclusion Ultrasound images of ovarian sclerosing stromal tumors in children and adolescents have some characteristics and provide important reference information for clinical diagnosis and differential diagnosis. It can further raise the awareness of pediatricians and sonographers on ovarian sclerosing stromal tumors in children and adolescents.
【作者单位】：中国医科大学附属第四医院超声科;中国医科大学附属盛京医院超声科;
【分类号】：R737.31;R445.1

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