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目的探讨超声图像对卵巢肿瘤诊断和鉴别诊断的价值。方法应用超声显像检测卵巢肿瘤的声像图特征,并与手术病理诊断作对照。结果超声诊断卵巢囊肿95例,99个肿瘤,与手术病理诊断符合率为95.7%(91/95);卵巢囊腺瘤77例,82个肿瘤,超声诊断符合率为93.5%(72/77);卵巢畸胎瘤121例,131个肿瘤,超声诊断符合率为91.7%(111/121);卵巢实质性肿瘤27例,29个肿瘤,其中良性15例,恶性12例,超声诊断符合率为59.0%(16/27)。结论超声图像对卵巢良性肿瘤的诊断符合率较高,具有重要诊断价值,对卵巢癌的诊断缺乏可靠的依据,对卵巢微小癌的诊断有待于进一步研究。
Objective To investigate the value of ultrasound in the diagnosis and differential diagnosis of ovarian tumors. Methods Ultrasound imaging was used to detect the features of the ovarian tumors and compared with the pathological diagnosis. Results Ninety-five cases of ovarian cysts were diagnosed by ultrasonography. The coincidence rate was 95.7% (91/95) with pathological diagnosis, 77 cases of ovarian cystadenoma and 82 tumors. The coincidence rate of ultrasound diagnosis was 93.5% (72/77) ; Ovarian teratoma in 121 cases, 131 tumors, the diagnostic accuracy of ultrasound was 91.7% (111/121); substantive ovarian tumors in 27 cases, 29 tumors, including 15 cases of benign and malignant in 12 cases, the diagnostic accuracy of ultrasound 59.0% (16/27). Conclusion Ultrasound images are of high diagnostic value in the diagnosis of benign ovarian tumors and have important diagnostic value. There is no reliable basis for the diagnosis of ovarian cancer. The diagnosis of ovarian cancer needs to be further studied.