| 摘要: |
| 目的：总结孤立性输卵管扭转的超声特征，提高诊断准确率。方法：分析总结我院经手术证实的7例孤立性输卵管扭转相关病史、临床表现、超声表现。结果：7例孤立输卵管扭转，左侧2例，右侧5例；2例合并输卵管系膜囊肿，5例合并输卵管积水；7例查见扭转蒂结构，5例呈“漩涡”征，2例呈稍高回声结节；5例彩色多普勒显示蒂部“漩涡”状血流，2例蒂部动脉血流速度减低，1例蒂部无血流；4例输卵管位置异常形成“假膀胱”征，其中2例输卵管重度积水，2例输卵管系膜囊肿。结论：孤立性输卵管扭转多合并输卵管积水或输卵管系膜囊肿；超声显示扭转蒂结构是直接诊断依据；蒂部血流消失或动脉血流速度减低提示输卵管可能发生坏死；输卵管或输卵管系膜囊肿位置异常是孤立输卵管扭转重要间接征象。 |
| 关键词: 孤立性输卵管扭转 超声 |
| DOI： |
| 投稿时间：2020-03-13修订日期：2020-04-15 |
| 基金项目: |
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| The ultrasound characteristics of isolated fallopian tubal torsion |
| Xiang Gui-shuang,Zhang Jing |
| (Department of ultrasound,chengdu fifth people''''s hospital) |
| Abstract: |
| [Abstract] Objective: To summarize the ultrasonic characteristics of isolated tubal torsion and to improve the accuracy of diagnosis. Method: We retrospectively analyzed clinical characteristics, ultrasound diagnosis and surgical treatment of 7 cases of isolated fallopian tubal torsion, who were treated surgically in our hospital. Result: In all 7 cases of isolated fallopian tubal torsion, there were 2 cases in the left fallopian tube and 5 cases in the right fallopian tube. 2 cases had tubal mesangial cysts and 5 cases had hydrosalpinx. The twisted pedicle structure was found in totally 7 cases, of which 5 cases showed "vortex" sign and 2 cases showed slightly high echo nodules. In color doppler flow imaging, 5 cases had "vortex" blood flow in the pedicle, 2 cases had decreased arterial blood flow velocity in the pedicle, and 1 had no blood flow in the pedicle. Among these 7 cases, 4 cases formed "false bladder" signs because of abnormal tubal position, of which 2 cases had severe hydrosalpinx and 2 cases had tubal mesangial cysts. Conclusion: Isolated fallopian tubal torsion was often accompanied by hydrosalpinx or tubal mesangial cysts. The twisted pedicle structure in ultrasound was the direct diagnostic evidence for isolated fallopian tubal torsion. The disappearance of blood flow and the decreased arterial blood flow velocity in the pedicle may indicate necrosis of fallopian tube. The abnormal position of tube or tubal mesangial cysts was an important indirect sign of isolated fallopian tubal torsion. |
| Key words: Isolated fallopian tubal torsion Ultrasound |
