| 摘要: |
| 目的 探讨幼少女卵巢肿瘤的声像图特征及其超声诊断价值。方法 选取年龄≤18岁且经手术病理证实为卵巢肿瘤患者31例，回顾性分析术前彩色多普勒超声资料，总结声像图表现，并结合临床和病理进行分析。结果 31例超声诊断为卵巢肿瘤的患者中，经病理证实良性病变21例，交界性肿瘤1例，恶性肿瘤 9例。其中以生殖细胞肿瘤最多见（61.29%）。11例超声表现为囊性者术后病理均证实为良性病变；5例超声表现为实性为主的占位，恶性率为80%（4/5），尤其当内部可见血流信号时，恶性可能性为100%（3/3）；当超声表现为混杂或多房的混合性回声且同时合并彩色血流信号，恶性可能性为100%（3/3）。结论 幼少女卵巢肿瘤组织成分复杂，恶性率较高，超声声像图表现多样，但具有一定的特征性，超声检查对幼少女卵巢肿瘤具有较高的准确率，对于协助判断肿瘤良恶性，为临床诊断及治疗方案的选择提供帮助。 |
| 关键词: 幼少女 卵巢肿瘤 彩色多普勒超声 |
| DOI： |
| 投稿时间：2017-09-16修订日期：2019-01-11 |
| 基金项目: |
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| Ultrasonic Diagnosis of Ovarian Tumors in immature females |
| LI Ling |
| (Department of Ultrasound,Henan Cancer Hospital,Affiliated Cancer Hospital of Zhengzhou University) |
| Abstract: |
| ABSTRACT Objective: To evaluate the value of ultrasonography in diagnosis of Ovarian Tumors in immature females and to study the sonographic characteristics of them.Methods Thirty-one cases of ovarian tumors in immature females between Jan.2013 to Dec.2016 were collected in this retrospective study.All patients were examined by color doppler ultrasound before operation.The sonographic features，clinical manifestations and pathological results of them were analyzed.
Results Among 31 cases of pediatric ovarian tumors，21 cases were benign tumors and tumor like lesions，9 cases were malignant tumors.The pathology result showed that 61.29%（19/31）of the cases were germ cell tumor.11 cases with cystic sonographic features were proved benign tumors by pathology. Solid tumors were most commonly associated with malignant （80%，4/5）, especially the lamp with color doppler flow signal(100%, 3/3). When the ultrasound showed mixed or multilocular mixed echo combined color doppler flow signal inside, the possibility of malignancy was 100% (3/3) .Conclusion： The malignant or benign pediatric ovarian tumors can be judged in most cases according to their sonographic characteristics，which offer important help in the clinical management. |
| Key words: Immature females Ovarian tumors CDFI Sonography |
