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超声在卵巢甲状腺肿诊断中的应用价值

Application value of ultrasonography in the diagnosis of struma ovarii
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摘要 目的探讨卵巢甲状腺肿的超声表现及诊断价值。方法回顾性分析2015年6月至2018年3月手术并经病理证实的20例卵巢甲状腺肿患者的超声表现。结果患者年龄29~82(41.5±24.0)岁,绝经后5例;超声显示卵巢甲状腺肿以单侧囊实性为主,多见厚分隔,其中实性回声与甲状腺类似,可出现较特异性的乳头状突起、蜂窝状结构,部分包块内可见结晶样小强光斑回声(囊性内出现率较高),实性大部分内可见血流信号;病理结果显示,除1例为卵巢甲状腺肿伴局灶性甲状腺乳头状癌外,余均为卵巢甲状腺肿。结论卵巢甲状腺肿具有一定的特征性超声影像,超声有助于该疾病的诊断。 Objective To investigate the sonographic features and diagnosis values of struma ovarii.Methods The sonographic features of 20 struma ovarii patients diagnosed by pathology from June 2015 to March 2018 were retrospectively analyzed.Results The age of the patients was 29 to 82(41.5±24.0)years old,and 5 cases were postmenopausal.Ultrasonography showed that ovarian goiter was mainly unilateral and solid-cystic,and most of them were thick partitions.The solid echo was similar to the thyroid gland,and more specific papillary protrusions and honeycomb structures could be found.Some of them could show crystallization speckle echo(high probability of cystic part),and blood flow signal could be seen in most of solid part.The pathological results showed that all cases were ovarian goiter except 1 case of ovarian goiter with local papillary thyroid carcinoma.Conclusions Struma ovarii is characteristic to a certain extent,and ultrasonography is helpful for the diagnosis of the disease.
作者 安黎 范公林 朱江 An Li;Fan Gonglin;Zhu Jiang(Department of Ultrasound,the Hospital of Traditionul Chinese Medicine in Tiantai Country,ZhejiangTiantai 317200,China;School of Medicine,Hangzhou Normal University,Hangzhou 310000,China;Department of Ultrasound,Sir Run Run Shaw Hospital College of Medicine Zhejiang University,Hangzhou 310016,China)
出处 《中国医师进修杂志》 2019年第3期197-200,共4页 Chinese Journal of Postgraduates of Medicine
基金 国家自然科学基金(81471664) 浙江省自然科学基金(LY18H18OOO1).
关键词 卵巢甲状腺肿 超声检查 畸胎瘤 回顾性研究 Struma ovarii Ultrasonography Teratoma Retrospective studies
作者简介 通信作者:朱江,Email:zhujiang1046@zju.edu.cn,电话:0571-86006771.
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