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目的探讨卵巢囊肿扭转的超声表现和诊断价值。方法回顾性2009年5月至2012年5月期间我院经腹部超声诊断的36例卵巢囊肿扭转病例的临床资料以及超声声像图特征,对其进行分析。结果本组病例经腹部超声检查提示卵巢囊肿扭转者36例,与手术后病理学结果比较,诊断符合者为27例,诊断符合率为75.0%,误诊者为9例,误诊率为25.0%,其中4例误诊为宫外孕,4例误诊为阑尾周围脓肿形成,1例误诊为盆腔脓肿形成。结论超声检查是卵巢囊肿扭转检查的首选方法,经腹部超声检查对卵巢囊肿扭转的诊断具有一定的临床应用价值。
Objective To investigate the ultrasound findings and diagnostic value of ovarian cyst torsion. Methods The clinical data of 36 cases of ovarian cyst torsion diagnosed in our hospital from May 2009 to May 2012 were analyzed retrospectively. Results In this group, 36 cases of ovarian cyst torsion were diagnosed by abdominal ultrasonography. Compared with the postoperative pathological results, the diagnostic coincidence was 27 cases, the coincidence rate was 75.0%, misdiagnosis rate was 9.0%, misdiagnosis rate was 25.0% 4 cases were misdiagnosed as ectopic pregnancy, 4 cases misdiagnosed as abscess formation around the appendix, 1 case misdiagnosed as pelvic abscess formation. Conclusion Ultrasonography is the preferred method of torsion in ovarian cysts. Transabdominal ultrasonography has some clinical value in the diagnosis of ovarian cyst torsion.