胎儿卵巢囊肿蒂扭转产前超声诊断及临床预后分析
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甘肃省妇幼保健院超声科 甘肃 兰州 730050

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Prenatal Ultrasound Diagnosis and Clinical Prognosis Analysis of Fetal Ovarian Cyst Torsion
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Department of ultrasound diagnosis,Gansu Provincial Maternity and Child-care Hospital

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    摘要:

    目的 探讨产前超声诊断胎儿卵巢囊肿蒂扭转的临床价值。方法 回顾性分析超声诊断为胎儿卵巢囊肿蒂扭转7例胎儿期超声图像,随访新生儿出生后情况,分析胎儿卵巢囊肿蒂扭转超声特征及早期诊断意义。结果 7例中6例产后证实为卵巢囊肿蒂扭转,1例术后证实为阴道闭锁,为误诊病例,余6例囊肿分娩前均表现为复杂性囊肿,6例直径大于4cm,1例直径小于4cm,超声诊断胎儿卵巢囊肿蒂扭转的准确性为85.7%。结论 产前超声能够明确胎儿卵巢囊肿蒂扭转,具有重要的临床价值,复杂囊肿并囊肿直径大于4cm是产前超声诊断胎儿蒂扭转的关键指标。

    Abstract:

    Objective: To observe the clinical value of prenatal ultrasound in fetal ovarian cyst torsion. Methods: A total of 7 cases of fetal ovarian cyst torsion were diagnosed using ultrasound images and clinical data were retrospectively analyzed, follow-up of newborns after birth, analysis of the ultrasound characteristics of fetal ovarian cyst torsion and the significance of early diagnosis. Results: There were one case which was confirmed to be vaginal atresia after delivery were misdiagnosed. All six cases of cysts showed complex cysts before delivery, six cases were larger than 4cm in diameter, one case was less than 4cm in diameter, six cases of seven cases were confirmed to be pedicle torsion of ovarian cysts after delivery, ultrasound diagnosis of ovarian. The total accuracy rate of fetal ovarian cyst torsion by ultrasound was 85.7%. Conclusion: Prenatal ultrasound can identify the torsion of the fetal ovarian cyst, which has important clinical value. Complex cysts with a diameter of more than 4 cm are the key indicators for the diagnosis of fetal torsion by prenatal ultrasound.

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李天刚,马斌,铁红霞,徐晓燕,王艺璇.胎儿卵巢囊肿蒂扭转产前超声诊断及临床预后分析[J].临床超声医学杂志,2022,24(8):

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  • 收稿日期:2021-06-29
  • 最后修改日期:2021-07-14
  • 录用日期:2021-07-14
  • 在线发布日期: 2022-08-30
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