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目的:探讨腹部超声诊断年轻女性盆腔肿块的应用价值。方法:选择临床怀疑妇科盆腔肿瘤或肿瘤样病变患者180例,都使用彩色超声诊断仪进行诊断,并进行了病理分析。结果:超声显示良性肿块145例,恶性35例,良性超声表现以囊性为主,形态规则、包膜完整。恶性可见较多实性区域,外形不规则,内部回声不均匀,新生血管杂乱排列。腹部超声诊断年轻女性盆腔肿块的敏感性与特异性为97.3%和96.9%。结论:腹部超声诊断年轻女性盆腔肿块的应用能很好鉴别良恶性肿块,同时密切结合临床是减少误诊的重要措施。
Objective: To explore the value of abdominal ultrasonography in the diagnosis of pelvic masses in young women. Methods: 180 patients with suspected gynecological pelvic or tumor-like lesions were selected and diagnosed by color sonography and pathological analysis. Results: Ultrasound showed 145 cases of benign mass, 35 cases of malignant, benign ultrasound manifestations of cystic, rules, complete capsule. Malignant visible more solid area, irregular shape, internal echo uneven, neovascular disorderly arrangement. Sensitivity and specificity of abdominal ultrasound in the diagnosis of pelvic masses in young women were 97.3% and 96.9%, respectively. Conclusion: The application of abdominal ultrasound in the diagnosis of pelvic masses in young women can distinguish benign and malignant masses, and close combination with clinical practice is an important measure to reduce misdiagnosis.