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目的探讨女性盆腔脾种植超声图像特点。方法回顾性分析经手术病理证实的3例女性盆腔脾种植共计7个包块的临床及超声图文资料,分析总结其特点。结果盆腔脾种植包块71.43%(5/7)位于右卵巢旁,28.57%(2/7)位于左卵巢旁;二维超声均表现为盆腔内稍强于子宫肌壁的实性均匀等回声,无囊性,边界清楚,有包膜;彩色多普勒超声显示肿物内血流丰富:AlderⅡ级,占57.14%(4/7),AlderⅢ级,占42.86%(3/7);测量其中5个肿物的血流频谱,均呈中等阻力型(RI:0.55~0.63)。结论女性盆腔脾种植具有实性、均匀、稍强于子宫肌壁的等回声等超声图像特征,AlderⅡ~Ⅲ级,中等阻力,结合脾切术史,在诊断脾种植和鉴别妇科疾病时具有重要价值。
Objective To investigate the characteristics of female pelvic spleen implantation ultrasound images. Methods Retrospective analysis of 3 cases of female pelvic spleen implants clinically and ultrasonographically confirmed by surgery and pathology, analyzed and summarized its characteristics. Results Pelvic splenic masses were found in 71.43% (5/7) of the right ovarian masses and 28.57% (2/7) in the left ovarian tissue. The two-dimensional ultrasonography showed a solid uniform echo with a slightly stronger pelvic shape than the uterine muscle wall , No cystic, clear border, with envelope; color Doppler ultrasound showed that the blood flow within the tumor is rich: AlderⅡgrade, accounting for 57.14% (4/7), AlderⅢgrade, accounting for 42.86% (3/7) Among them, the blood flow spectrum of five masses showed moderate resistance (RI: 0.55-0.63). Conclusions Female pelvic splenic implants have the features of solid, uniform, and slightly isoscelesi ultrasound images such as equal echo, such as Alder Ⅱ ~ Ⅲ, moderate resistance and history of splenectomy, which are important in the diagnosis of spleen implantation and the identification of gynecological diseases value.