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目的 探讨超声对原发性输卵管癌的诊断价值。方法 应用二维和彩色多普勒超声观察 18例原发性输卵管癌的声像图特征。结果 18例经手术和病理证实 ,14例为原发性输卵管癌 ,超声诊断符合率为 77.8% ,声像图表现为三种类型 :混合性、偏实性、类囊性 ,彩色多普勒超声在实性、厚壁、混合性块物中均探及低阻血流 ,其阻力指数 (RI)在 0 .32～ 0 .4 9之间。结论 二维超声结合彩色多普勒超声可以提高原发性输卵管癌的诊断符合率。
Objective To investigate the diagnostic value of ultrasound in the treatment of primary fallopian tube cancer. Methods The echographic features of 18 patients with primary fallopian tube cancer were observed by two-dimensional and color Doppler sonography. Results 18 cases were confirmed by operation and pathology, 14 cases were primary fallopian tube carcinoma. The coincidence rate of ultrasonic diagnosis was 77.8%. The sonography showed three types: mixed, partial, cystic, color Doppler Ultrasound in the solid, thick, mixed block were detected and low resistance blood flow, the resistance index (RI) between 0.32 ~ 0.49. Conclusion Two-dimensional ultrasound combined with color Doppler ultrasound can improve the diagnostic accuracy of primary fallopian tube cancer.