Value of transvaginal and abdominal color Dopplerultrasonography in diagnosis of ovarian cyst pedicle torsion in 43 cases

HE Xiaoling; DU Penghui; WANG Jin; LYU Jing

doi:10.7619/jcmp.201911019

Journal of Clinical Medicine in Practice > 2019 > 23(11): 66-69. > DOI: 10.7619/jcmp.201911019

HE Xiaoling, DU Penghui, WANG Jin, LYU Jing. Value of transvaginal and abdominal color Dopplerultrasonography in diagnosis of ovarian cyst pedicle torsion in 43 cases[J]. Journal of Clinical Medicine in Practice, 2019, 23(11): 66-69. DOI: 10.7619/jcmp.201911019

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Value of transvaginal and abdominal color Dopplerultrasonography in diagnosis of ovarian cyst pedicle torsion in 43 cases

1.
Department of Ultrasound, Wuhan Hospital of China University of Geosciences, Wuhan, Hubei, 430074
2.
Department of Gynecology, Wuhan Hospital of China University of Geosciences, Wuhan, Hubei, 430074
3.
Department of Ultrasound Imaging, General Hospital of Jianghan Oilfield, Qianjiang, Hubei, 433124

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Received Date: February 25, 2019
Accepted Date: April 01, 2019
Available Online: February 22, 2021
Published Date: June 14, 2019

Graphical Abstract

Abstract

Abstract

Objective To study the clinical value of transvaginal and abdominal color Doppler ultrasound in the diagnosis of ovarian cyst pedicle torsion.
Methods A total of 43 patients with ovarian cyst torsion who underwent surgery in our hospital were enrolled. All these patients underwent abdominal ultrasound and vaginal ultrasonography, and were diagnosed by pathology and surgery, taking pathological diagnosis as golden standard. The sonographic performance, diagnostic results and clinical application value of the two ultrasound examinations were observed and analyzed.
Results The accuracy of vaginal ultrasonography in 43 cases was significantly higher than that of abdominal ultrasonography (93.02% vs. 67.44%, P < 0.05). A few patients were misdiagnosed as hydrosalpinx torsion, rupture of ectopic pregnancy and rupture of corpus luteum cyst. The misdiagnosis rate and missed diagnosis rate of transvaginal ultrasound were 4.65% and 2.33% respectively, which were significantly lower than 18.60% and 13.95% respectively in transabdominal ultrasound (P < 0.05).
Conclusion Transvaginal ultrasonography has good clinical value in diagnosis of ovarian cyst pedicle torsion, which can effectively detect the lesion and has higher convenience and accuracy. At the same time, it is suitable for diagnosis of small or moderate pedicle torsion lesions because of its obvious echo characteristics.
- vaginal ultrasound,
- color Doppler ultrasound,
- cyst pedicle torsion,
- ovarian cysts,
- diagnostic value

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References

[1]	吴少芬. 彩色多普勒超声诊断卵巢囊肿蒂扭转的临床价值分析[J]. 山东医药, 2018, 58(18): 72-74. doi: 10.3969/j.issn.1002-266X.2018.18.023
[2]	杜晓宙, 高永艳. 阴道超声和腹部超声对卵巢囊肿蒂扭转的应用价值及误诊原因分析[J]. 中国妇幼保健, 2018, 33(15): 3566-3568. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201815067.htm
[3]	张普庆, 吴青青, 梁娜, 等. 胎儿卵巢囊肿的产前超声诊断及预后评估[J]. 中国超声医学杂志, 2016, 32(12): 1126-1128. doi: 10.3969/j.issn.1002-0101.2016.12.024
[4]	吴忧, 胡君, 朱丽荣. 卵巢囊肿蒂扭转患者腹腔镜下保留卵巢手术18例临床分析[J]. 中国妇产科临床杂志, 2016, 17(4): 302-304. https://www.cnki.com.cn/Article/CJFDTOTAL-FKLC201604005.htm
[5]	刘红, 李胜. 经腹超声与经阴道超声诊断对卵巢囊肿的效果比较[J]. 中国妇幼保健, 2017, 32(16): 3967-3968. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201716094.htm
[6]	张莉, 杨小红, 赵胜, 等. 胎儿卵巢囊肿蒂扭转产前和产后超声表现及病理对照[J]. 中华医学超声杂志: 电子版, 2018, 15(5): 366-369. doi: 10.3877/cma.j.issn.1672-6448.2018.05.008
[7]	张普庆, 吴青青, 梁娜, 等. 胎儿卵巢囊肿的产前超声诊断及预后评估[J]. 中国超声医学杂志, 2016, 32(12): 1126-1128. doi: 10.3969/j.issn.1002-0101.2016.12.024
[8]	谢幸, 苟文丽. 妇产科学[M]. 8版. 北京: 人民卫生出版社, 2013: 32-36.
[9]	李雪蕾, 张徐欣, 穆仲平. 胎儿生殖系统囊性病变的产前超声诊断分析[J]. 中国超声医学杂志, 2017, 33(8): 757-760. doi: 10.3969/j.issn.1002-0101.2017.08.029
[10]	刘慧强, 郝敏, 王永红, 等. 妊娠期合并急腹症患者的10年回顾性总结及误诊分析[J]. 中国卫生统计, 2014, 31(3): 515-517. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201403050.htm
[11]	郭建新, 刘强. 卵巢囊肿破裂或蒂扭转的围生期诊断和处理[J]. 实用妇产科杂志, 2016, 32(1): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201601002.htm
[12]	孙媛媛, 汤丽荣. 妊娠合并卵巢囊肿蒂扭转的诊断和处理[J]. 中国微创外科杂志, 2017, 17(11): 1039-1041. doi: 10.3969/j.issn.1009-6604.2017.11.022
[13]	张欣欣, 林凤, 郑飞云, 等. 妊娠期发生附件扭转的高危因素及早期诊断研究[J]. 医学研究杂志, 2018, 47(6): 135-138. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYZ201806033.htm
[14]	岑立微, 顾蔚蓉. 中晚期妊娠合并非产科急腹症手术时机选择的探讨[J]. 实用妇产科杂志, 2015, 31(9): 669-673. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201509015.htm
[15]	焦海宁, 刘华, 唐中园, 等. 腹腔镜与开腹手术治疗妊娠合并卵巢囊肿的比较[J]. 中国微创外科杂志, 2015, 15(11): 1021-1024. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWWK201511018.htm
[16]	张家云, 宋亭, 陈永露, 等. 附件扭转的蒂扭曲形态影像表现[J]. 临床放射学杂志, 2017, 36(11): 1667-1670. https://www.cnki.com.cn/Article/CJFDTOTAL-LCFS201711031.htm
[17]	周洪友, 陈丹. 孕28~(+3)周合并卵巢囊肿蒂扭转行腹腔镜手术1例报告[J]. 中国微创外科杂志, 2015, 15(9): 855-856. doi: 10.3969/j.issn.1009-6604.2015.09.026
[18]	王英. 卵巢囊肿蒂扭转手术中保留卵巢的治疗效果及安全性分析[J]. 中华肿瘤防治杂志, 2018, 25(S1): 143-143, 145. https://www.cnki.com.cn/Article/CJFDTOTAL-QLZL2018S1089.htm

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Value of transvaginal and abdominal color Dopplerultrasonography in diagnosis of ovarian cyst pedicle torsion in 43 cases

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