【作者】 王静欣； 杨太珠；

【机构】 四川大学华西第二医院超声科；

【摘要】 目的探讨卵巢甲状腺肿(strum ovarii,SO)的常规超声及超声造影表现方法回顾性分析65例经手术病理证实的卵巢甲状腺肿的常规超声表现,并探讨其中5例超声造影表现特点结果14例病例常规超声表现为多房囊性占位,49例病例表现为囊实性占位,2例病例为实性占位,其中18例病灶内探及较丰富血流信号;对其中5例进行了Sonovue造影后,3例表现为病灶较均匀的中等增强,实性成分内无造影剂进入;2例表现为病灶内实性成分不均匀的中-高增强,部分病灶呈明显高增强。结论卵巢甲状腺肿以多房囊性或囊实性成分多见。由于卵巢甲状腺肿特殊性的病理构成,其常规超声及超声造影表现的表现均不典型,术前诊断困难。更多还原

【Abstract】 Objective To investigate sonographic characteristics of struma ovarii in Conventional Ultrasound and Contrast-enhanced Ultrasound.Methods The ultrasound imaging of 65 patients with struma ovarii confirmed by pathology were reviewed and analyzed,including 5 patients examined by Contrast-enhanced Ultrasound.Results 14 tumors were multiocular,49 tumors were cystic with solid component,2 tumor was solid,The abundant blood flow was found in 18 tumors on Doppler examination.Among the 5 enhancement pattern cases,3 cases(83.3%)were regular middle-degree intensity,2 cases(16.7%) were irregular middle-high degree intensity,in which part of solid area was obviously high intensity.Conclusions The sonographic appearance of struma ovarii is usually multilocular or multilocular with solid component.Because of strum ovarii’ s special characteristic pathologic cmponents,the imaging features of strum ovarii in conventional ultrasound and contrast-enhanced ultrasound are atypical,and thus preoperative diagnosis is quite difficult.更多还原