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目的探讨超声检查对盆腔炎性肿块及卵巢肿瘤鉴别诊断的应用价值。方法对211例有盆腔炎性肿块患者的临床资料进行统计学相关分析,主要涉及八项超声图像特征,对各项图像特征进行比较分析。结果比较患者的卵巢结构、盆腔各个韧带的回声、子宫壁厚度、肿块边界是否清晰、形状规则程度、患者腹水含量各方面差异有统计学意义(P<0.05),而囊内的分隔以及囊壁乳头形状方面差异无统计学意义(P>0.05)。结论盆腔内脓肿和炎性肿块与卵巢肿瘤的区别在于病灶区是否存在卵巢正常结构,根据超声检查的相关图像进行鉴别,同时超声检查的壁厚度,子宫韧带的回声状况等有助于盆腔炎性肿块的明确诊断。
Objective To investigate the value of ultrasonography in the differential diagnosis of pelvic inflammatory mass and ovarian tumor. Methods The clinical data of 211 patients with pelvic inflammatory mass were statistically analyzed, which mainly involved the features of eight ultrasound images and compared the features of the images. Results Comparing the ovarian structure, the echo of each pelvis, the thickness of the uterine wall, the boundary of the mass, the regularity of the shape and the ascites content of the patients, there were significant differences (P <0.05) Nipple shape was no significant difference (P> 0.05). Conclusions The difference between intra-pelvic abscess and inflammatory mass and ovarian tumor lies in whether the normal ovarian tissue exists in the lesion area and is differentiated according to the relevant images of ultrasound examination. Meanwhile, the wall thickness of ultrasound examination, the echo status of uterine ligaments, etc. contribute to pelvic inflammatory disease Clear diagnosis of lumps.