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目的探讨彩色多普勒对胎儿卵巢囊肿的诊断和鉴别诊断。方法通过对孕妇进行胎儿畸形筛查,掌握胎儿卵巢囊肿的彩色多普勒诊断特点、发生、发展、预后及鉴别诊断。结果经与正常膀胱、肠系膜囊肿、胎粪性腹膜炎、肝囊肿、胆总管囊肿、肝内脐静脉曲张、双肾、肾上腺区囊肿、肠重复囊肿、子宫阴道积水等声像图鉴别诊断,诊断7例孕晚期胎儿卵巢囊肿,随访5例自行消失,2例于产后6个月行腹腔镜剔除术,病理分别为:单纯性囊肿、囊性畸胎瘤。结论彩色多普勒对胎儿卵巢囊肿诊断和鉴别诊断,具有检查方法简单、无创、安全、可重复性强、准确性高、可作为诊断该病的首选方法。
Objective To investigate the diagnosis and differential diagnosis of fetal ovarian cyst by color Doppler. Methods The pregnant women fetus deformity screening to grasp the fetal ovarian cyst color Doppler diagnostic features, occurrence, development, prognosis and differential diagnosis. The results were compared with the normal bladder, mesenteric cyst, meconium peritonitis, hepatic cyst, choledochal cyst, intrahepatic umbilical varicose veins, double kidney, adrenal cyst, intestine repeat cyst, Seven cases of fetal ovarian cysts in the third trimester were followed up for 5 cases, and 2 cases were performed laparoscopic resection 6 months after delivery. The pathology was simple cyst and cystic teratoma respectively. Conclusion Color Doppler ultrasound diagnosis of fetal ovarian cysts and differential diagnosis with a simple, noninvasive, safe, reproducible, high accuracy, and can be used as the first choice for the diagnosis of the disease.