| 黎全华,杨坡,吴娟,刘云,王超华,栗河舟,程美英.对比超声与CT诊断新生儿及婴儿卵巢囊肿[J].中国介入影像与治疗学,2022,19(1):44-47 |
| 对比超声与CT诊断新生儿及婴儿卵巢囊肿 |
| Comparison on ultrasound and CT for diagnosing neonatal and infant ovarian cysts |
| 投稿时间：2021-09-01 修订日期：2021-12-09 |
| DOI：10.13929/j.issn.1672-8475.2022.01.010 |
| 中文关键词: 卵巢囊肿 超声检查 体层摄影术,X线计算机 婴儿 新生儿 |
| 英文关键词:ovarian cysts ultrasonography tomography, X-ray computed infant newborn |
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| 中文摘要: |
| 目的 对比观察超声与CT对新生儿及婴儿卵巢囊肿的诊断价值。方法 回顾性分析经出生后手术病理确诊，且术前接受腹部超声和CT检查的34例单发卵巢囊肿患儿，包括24例新生儿（0~28天）和10例婴儿（29~179天）；观察病变超声声像图及CT特征，对比两种方法诊断卵巢囊肿的效能。结果 34个卵巢囊肿中，19个来自左侧卵巢、15个来自右侧卵巢，其中20个存在蒂扭转。超声声像图示复杂型囊肿18个、单纯型囊肿16个。腹部CT示28个呈低密度影、4个呈混杂密度影，2个未检出；16个囊壁增厚，11个可见钙化。超声定性诊断卵巢囊肿的准确率为94.12%（32/34），定位诊断囊肿来源卵巢侧别的准确率为88.24%（30/34）；诊断卵巢囊肿蒂扭转的准确率为85.00%（17/20）。CT定性诊断卵巢囊肿的准确率73.53%（25/34），定位诊断准确率55.88%（19/34）；诊断卵巢囊肿蒂扭转准确率55.00%（11/20）。超声与CT定性诊断卵巢囊肿的准确率差异无统计学意义（χ2=0.77，P=0.38），定位诊断卵巢囊肿准确率（χ2=5.74，P=0.02）及诊断蒂扭转准确率（χ2=4.31，P=0.04）差异均有统计学意义。结论 超声及CT对诊断新生儿及婴儿卵巢囊肿均有一定价值；超声对囊肿内部回声改变更为敏感，定位诊断卵巢囊肿和诊断蒂扭转均优于CT。 |
| 英文摘要: |
| Objective To compare the value of ultrasound and CT for diagnosing ovarian cysts in newborns and infants. Methods A total of 34 cases with single ovarian cysts diagnosed by postnatal surgical operation, including 24 neonates (0-28 days) and 10 infants (29-179 days) were retrospectively analyzed. Abdominal ultrasound and CT examination were performed before surgical operation, the ultrasonic and CT characteristics of lesions were observed, and the diagnostic efficacy of these two methods for ovarian cysts were compared. Results Among 34 ovarian cysts, 19 developed from the left and 15 from the right ovary. Pedicle torsion was detected in 20 ovarian cysts. Ultrasound showed 18 complex cysts and 6 cases of simple cysts. Abdominal CT showed low-density masses in 28 cases, hybrid-density masses in 4 cases and missed the lesions in 2 cases. Thicken cyst wall was found in 16 cases, and calcifications were detected in 11 cases. The accuracy rate of qualitative diagnosis of ultrasound for ovarian cysts was 94.12% (32/34), of ocalization of cysts from the left or right side ovarian was 88.24% (30/34), of ovarian cysts torsion was 85.00% (17/20). Meanwhile, accuracy rate of CT for qualitative diagnosis of ovarian cysts was 73.53% (25/34), of localization of ovarian cysts was 55.88% (19/34), of diagnosis of ovarian cysts torsion was 55.00% (11/20). There was no significant difference of qualitative diagnosis of ovarian cysts (χ2=0.77, P=0.38), but there was statistical difference of the accuracy rate of cyst localization (χ2=5.74, P=0.02) and ovarian cysts torsion (χ2=4.31, P=0.04) between ultrasound and CT. Conclusion Ultrasound and CT had certain value for diagnosing ovarian cysts in newborns and infants. Ultrasound was more sensitive to the change of the inside echoes of the cysts and better than CT for localization of ovarian cysts detecting the torsion of cysts pedicle. |
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