【摘要】 目的探讨B超检查在对卵巢黄体破裂诊断及治疗方法选择中的临床价值。方法回顾性分析68例经临床手术和病理证实的黄体破裂的超声表现及腹腔积液量的动态变化。结果本组经手术治疗的黄体破裂患者术前超声诊断50例,误诊18例, 诊断符合率73．5％。超声声像图表现二种类型:(1)单纯囊性包块14例;(2)囊实性包块36例。B超监测腹腔积液量分:大量(500ml以上)、中等量(100ml-500ml)、少量(100ml以下)三类。结论黄体破裂声像图颇具特征,B超是诊断卵巢黄体破裂和监测腹腔积液量的一个简便可靠的方法,可为临床诊断和选择治疗方案提供依据。更多还原

【Abstract】 Purpose To investigate the clinical value of B-mode ultrasound in the diagnosis of ruptured corpus luteum and selection of management. Methods Ultrasonographic features of 68 cases with ruptured corpus luteum which were confirmed by surgical operation and pathology were analyzed retrospectively as well as dynamic change of abdominal fluid. Results In this study, 50 cases of ruptured corpus luteum were diagnosed preoperatively by ultrasonography, other 18 cases were misdiagnosed, with an accuracy of 73.5%. There were two types on ultrasonography: simple cystoid mass (14 cases) and cystic-solid mass (36 cases). The volume of abdominal fluid was classified as large amount (>500ml), medium (100-500ml) and small amount (<100ml). Conclusion The features of ruptured corpus luteum are specific on ultrasonography, which is a simple and credible method for clinical diagnosis and management selection.更多还原