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[目的]探讨超声对女性盆腔肿瘤的诊断价值及鉴别诊断,为临床治疗、手术提供参考依据。[方法]选取2004年1月～2007年12月226例女性盆腔病变患者中经超声检查并被手术病理证实的118例女性盆腔肿瘤患者,对其声像图表现进行回顾性分析。[结果]超声诊断符合107例(占90.7%),不符合11例(占9.3%),分别来源于卵巢肿瘤62例,子宫疾病51例,盆腔其他肿瘤5例。子宫卵巢肿瘤多数有特征性超声表现,部分声像图之间存在交界性表现,易误诊、漏诊。[结论]超声对女性盆腔肿瘤有良好的诊断价值,对多数有典型的超声征象,结合临床病史、体征、实验室等资料综合分析,容易诊断。
[Objective] To investigate the diagnostic value and differential diagnosis of female pelvic tumors by ultrasound and provide reference for clinical treatment and surgery. [Method] A total of 118 female pelvic tumor patients confirmed by surgery and pathology in 226 cases of female pelvic lesion from January 2004 to December 2007 were retrospectively analyzed. [Results] The diagnosis of ultrasound was found in 107 cases (90.7%) and 11 cases (9.3%), respectively. There were 62 cases of ovarian tumors, 51 cases of uterine diseases and 5 cases of other pelvic tumors. Most of uterine ovarian tumors have characteristic ultrasound manifestations, there is a borderline performance between the partial sonography, misdiagnosis, missed diagnosis. [Conclusion] Ultrasound has a good diagnostic value for pelvic tumors in women. Most of the typical ultrasonic signs are easily diagnosed by comprehensive analysis of clinical history, signs and laboratory data.