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卵巢甲状腺肿超声诊断与误诊分析目的探讨卵巢甲状腺肿（SO）的超声声像学表现特征，以提高超声对SO 临床诊断价值。
方法回顾性分析我院2010年1月～2019年10月经手术病理证实7例SO超声声像图资料，并结合病理分析误诊的原因。
结果6例表现为多房囊实性混合回声包块，1例为单囊性肿块。
囊性部分各房腔回声不均匀，部分囊腔透声比膀胱内液体透声差;实性部分位于各囊腔之间，实性部分呈蜂窝状稍高回声并可探及较丰富血流回声。
结论SO超声表现具有一定特征，如囊性部分透声比膀胱内液体差;实性部分位于各囊腔之间，且呈蜂窝状稍高回声并探及丰富血流回声等，有助于提高诊断准确性。
[Abstract] Objective To explore the characteristics of ultrasound sonography of struma ovarii （SO）in order to improve the value of ultrasound in the diagnosis of SO. Methods A total of 7 cases of SO ultrasound image data confirmed by surgical pathology in our hospital from January 2010 to October 2019 were retrospectively analyzed，and the cause of misdiagnosis was analyzed in combination with pathological analysis. Results Six cases showed multi-room cystic solid mixed echogenic mass，and one case was monocystic mass. The cystic part had uneven echo in each chamber，and some of the cysts had less sound transmission than the liquid in the bladder. The solid part was located between the cysts，and the solid part was honeycomb-like with slightly higher echo and could detect more abundant flow echo. Conclusion SO ultrasound has certain characteristics，for example that the cystic part is less permeable than the bladder fluid，the solid part is located between each cyst cavity，and it is slightly honeycomb-like with high echo and probes and enriches blood flow echo，etc.，which helps to improve diagnostic accuracy.[Key words] Struma ovarii; Ultrasound diagnosis; Misdiagnosis; Pathology卵巢甲状腺肿（Struma ovarii，SO）是一种以全部甲状腺组织或以甲状腺组织为主所构成的卵巢肿瘤[1]，属于具有高度分化单胚层细胞的成熟囊性畸胎瘤[2]。
超声讲座令狐文艳卵巢肿瘤的超声诊断和鉴别诊断陈冠定2013-03-17-19.30中会议室常见卵巢肿瘤的声像图特征1.卵巢囊腺瘤：卵巢囊腺瘤包括浆液性和粘液性囊腺瘤。
声像图特征：为圆形或椭圆形的低回声或无回声区，单房或多房，肿块形态规则，边界清晰。
囊壁厚薄均匀，囊壁光滑。
有时在囊壁内侧见小的乳头状突起，形态规则，内部回声均匀，内部血管分布稀少。
粘液性囊腺瘤体积可以很大，最大可达25cm。
呈多房性，内含较多光点。
2.卵巢成熟性畸胎瘤：呈圆形或椭圆形的肿块，其内部回声情况与其组成成分有关。
内部回声可以呈低回声、等回声、高回声或强回声，或镶嵌存在。
高回声或强回声多数为脂肪、毛发或牙齿，往往形态不规则，附于囊壁一侧，低回声区为液性部分。
肿块内部脂质与液性部分之间形成较为清楚的分界线，并随体位变化。
彩色多普勒超声在肿块内部及边界较难探及血管。
由于畸胎瘤内部回声与肠曲相似，由于混于肠曲中，超声下容易漏诊。
2%-4%可发生恶变。
3.卵巢内膜样囊肿：为圆形或椭圆形的低回声区，单房或多房，多位于子宫后方。
囊腔内含密集光点，囊壁厚度基本均匀。
有时囊腔内血块沉积表现为囊腔内回声增强区，附于囊壁一侧。
彩色多普勒超声在囊壁探不到探及阻力较高的血管。
4.卵巢功能性囊肿：（1）卵泡囊肿：为圆形或椭圆形的无回声区，大小为3-8cm,壁薄，内壁光滑。
彩色多普勒检查囊壁上无新生血管存在。
观察2个月，囊肿往往自行消失。
（2）黄体囊肿：直径为3-6cm，呈圆形的无回声区，边界较模糊。
彩色多普勒超声在囊肿表面探及环状彩色血流，血管扩张，阻力降低。
（3）黄素囊肿：多为双侧性，多房性，大小从几毫米到直径20cm或更大。
囊肿呈无回声区，壁薄，表面光滑。
彩色多普勒超声在囊肿壁或分隔上探及新生血管存在。
滋养叶细胞疾病治愈后，黄素囊肿自行消失。
卵巢恶性肿瘤的超声诊断由于卵巢位于盆腔的深部，早期卵巢癌无明显临床表现，缺乏特异性的早期诊断方法。
卵巢癌确诊时，605-70%已属晚期。
245卵巢肿瘤是女性生殖器常见肿瘤之一，尤以20～50岁的妇女发病率最高，五年存活率仍较低，大概在25%～30%。
卵巢所处解剖部位隐蔽和大部游离在盆腔内，肿瘤早期缺乏症状，不易被发现，故素有“无症状肿瘤”之称。
一旦出现相应症状，往往已为晚期，影响预后[1]。
病理学检查是目前临床上诊断卵巢性肿瘤的金标准，但缺点为有卵巢性肿瘤的超声诊断与病理对照临床分析曾之华（广西医科大学附属武鸣医院 广西 南宁 530199）【摘要】目的：观察和探讨超声诊断在卵巢性肿瘤的诊断价值，并与病理对照进行对比分析。
方法：选择于2019年1月—2019年12月我院收治的均采用彩色多普勒超声诊断仪器进行检查的且能在术后提供病理结果的62例卵巢性肿瘤患者作为 研 究对象，对其临床资料进行回顾性分析，分析的内容包括患者肿块部位、大小，是否存在包膜及肿块内部回声等情况以及术后病理结果，以分析和评估超声诊断与病理诊断结果的复合型符合性。
结果：纳入回顾性分析的62例患者中，与术后病理诊断结果对比，超声诊断良性囊腺瘤的符合率为100%（24/24）；超声诊断恶性囊腺瘤的符合率为95.45%（21/22）；超声诊断囊性畸胎瘤的符合率为88.89%（8/9）；超声诊断交界性囊腺瘤的符合率为85.71%（6/7）；总计超声诊断与病理诊断符合率对比为95.16%（59/62）。
结论：对卵巢性肿瘤采取超声诊断的结果与病理诊断结果具有良好的一致性，可在临床应用中作为诊断卵巢性肿瘤方式进行推广使用。
【关键词】卵巢性肿瘤；超声诊断；病理对照；临床分析【中图分类号】R737.31 【文献标识码】A 【文章编号】2096-3807（2020）09-0245-02区；淋巴结内部或周围血供丰富诊断为转移淋巴结。
2 结果诊断为2级病灶1例，病理结果为良性；病灶15例3级，且恶性结果2例；20例4a 级病灶，恶性7例；28例4b 级，恶性22例；25例4c 级病灶，恶性22例；诊断为5级病灶14例，其中13例病理结果为恶性。
・584・西部医学2019年4月第31卷第4期Mec J West China,April2019,Vol.31,No.4.论著.卵巢甲状腺肿的超声图像特点及临床病理分析*强坤坤宋清芸罗红杨太珠文娟张文陈婷（四川大学华西妇产儿童医院超声科•出生缺陷与妇儿疾病教育部重点实验室，四川成都610041）【摘要】目的分析病理诊断为卵巢甲状腺肿（SO）患者的超声图像特征及临床病理特点，以期提高超声对本病的诊断水准。
方法回顾性分析我院2010年1月〜2017年5月经病理证实为SO旳94例患者术前超声表现和临床资料，并总结超声图像特点。
结果94例SO患者中，91例为良性卵巢甲状腺肿，3例为恶性卵巢甲狀腺肿，其中良性卵巢甲状腺肿超声图像中77例（84.6%）呈囊性、分隔囊性或囊实性，86例（94.5%）边界清楚，70例（76.9%）形态规则，17例（1&7%）囊内有结节状突起，45例（49.5%）可探及血流信号；恶性卵巢甲状腺肿中，2例附件区袁实性（以囊性为主）占位，囊内壁可见稍强回声结节突起.囊壁、稍强回声及隔上均可探及血流信号。
结论卵巢甲状腺肿超声声像图特点各异，但仍具有一些共性，多表现为附件区或盆腔内边界清楚、形态规则的分隔囊性或囊实性肿块，部分袁内可见结节状突起，袁壁及隔上探及血流。
分析超声图像特点有助于提高该病的诊断水平。
【关键词】卵巢甲状腺肿；超声检查；肿瘤标记物CA125；CA199【中图分类号】R737.31；R36；R730.265.7【文献标志码】A doi：10.3969/j.issn.1672-3511.2019.04.021 Ultrasonographic and clinical pathological manifestations of Struma OvariiQIANG Kunkun.SONG Qingyun.LUO Hong.YANG Taizhu.WEN Juan,ZHANG Wen.CHEN Ting(Department of Ultrasonography iKey Laboratory of Obstetric»Gynecologic and Pediatric Diseases and BirthDe f eels o f Ministry o f Education,West China Second Hospital,Sichuan University, Chengdu610041, China')[Abstract]Objective To investigate the ultrasonographic features and the corresponding clinical pathological manifestations of Struma Ovarii.Methods The clinical data and preoperative ultrasonographic findings of94patients with Struma Ovarii were analyzed retrospectively from January2010to May2017at West China Second Hospital.The characteristics of ultrasonographic images were summarized.Results91cases were benign Struma Ovarii.3cases were malignant Struma Ovarii.77cases(84.6%)were cystic,separated cystic or mixed.The border of86cases(94.5%)were clear,70cases(76.9%)had regular shape.45cases(49.5%)can detect and2cases of malignant Struma Ovarii ultrasonography showed mixed echo with stronger echo nodules,blood flow signal,wereditected in the cystic wall,nodule and septum0Conclusion Ultrasonographic features of Struma Ovarii are diverse,but sti.l have some characteristics,such as the performance of clear boundary,regular shape of the multi-cystic or cystic solid mass,solid nodule can be seen in part of the cyst,blood flow signal,were detected in the cystic wall and septum.Detailed analysis of ultrasound image features can improve the diagnosis of Struma Ovarii【Keywords】Struma Ovarii；Ultrasonography；Tumormaker CA-125；CA199卵巢甲状腺肿（Struma Ovarii,SO）临床少见，是一种来源于单胚层的生殖细胞肿瘤，肿瘤全部或大部分由甲状腺组织组成，分别占卵巢畸胎瘤、卵巢肿瘤的2.7%、0.01%〔“〕。
超声造影在卵巢肿块诊断中的应用价值商晓杰;孙秋红【摘要】Objective To investigate the application value of contrast-enhanced ultrasound in the diagnosis of ovarian masses.Methods Ninety-four patients with ovarian masses were observed and undetermined by conventional ultrasound examinations who were underwent contrast-enhanced ultrasound examinations and were made the time-intensity curve.By analyzing the perfusion characteristics and the quantitative parameters of time-intensity curve,we compared the difference of different masses.Results The perfusion characteristics and the quantitative parameters of the time-intensity curve were different.The arrival time and the time to peak intensity of benign masses were later than those of malignant tumors.The peak iniensity of benign masses was lower than that of malignant tumors.There was a significant difference between the two groups.The arrival time and the time to peak intensity of benign tumors were later than those of malignant tumors.The peak intensity of benign tumors was lower than that of malignant tumors.There was a significant difference between the two groups.The time to peak intensity of non-tumorous lesions was later than that of malignant tumors.The peak intensity of non-tumorous lesions was lower than that of malignant tumors.There was a significant difference between the two groups.The arrival time of non-tumorous lesions was earlier than that of benign tumors.There was a significant difference between the twogroups.Conclusion The perfusion characteristics and the quantitative parameters that draw from the time-intensity curve of different masses are different.Contrast-enhanced ultrasound is contributive to the diagnosis and the differential diagnosis of different masses.Contrast-enhanced ultrasound also has great clinical values to those ovarian masses whose ultrasonic appearance is complex and difficult to diagnose qualitatively.%目的探讨超声造影在卵巢肿块诊断中的应用价值.方法对常规超声检查发现卵巢肿块但性质难以鉴别的患者94例行超声造影检查并绘制时间-强度曲线(TIC),分析比较不同肿块的造影剂灌注特点及TIC参数的差异.结果卵巢肿块的超声造影灌注特点及TIC参数存在差异.良性组的AT、TTP晚于恶性组,PI低于恶性组,差异有统计学意义(P＜0.05);良性肿瘤组的AT、TTP晚于恶性组,PI低于恶性组,差异有统计学意义(P＜0.05);非肿瘤性病变组的TTP晚于恶性组,PI低于恶性组,差异有统计学意义(P＜0.05);非肿瘤性病变组的AT早于良性肿瘤组,差异有统计学意义(P＜0.05).结论不同性质的卵巢肿块的超声造影灌注特点及TIC参数不同,超声造影有助于卵巢良恶性肿块的诊断及鉴别诊断.特别是对常规超声表现复杂、难以定性的卵巢肿块,超声造影同样具有重要的临床应用价值.【期刊名称】《医学研究杂志》【年(卷),期】2017(046)004【总页数】4页(P160-163)【关键词】卵巢肿块;超声造影;时间-强度曲线【作者】商晓杰;孙秋红【作者单位】255000 淄博市中心医院;淄博职业学院【正文语种】中文【中图分类】R445.1卵巢肿块是女性生殖系统常见病，病理种类繁多，不同性质的肿块所需采取的治疗方案不同，正确诊断是选择合理治疗方案的前提和依据。
