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目的:探讨经阴道超声诊断原发性输卵管癌的价值。方法:回顾性分析我院自2000年8月～2006年10月3例及浙江大学妇产医院自1991年11月～2006年8月29例共32例经手术及病理诊断为原发性输卵管癌患者的相关资料,全部病例术前均经阴道二维及彩色多普勒超声检查。结果:16例术前经阴道超声诊断为原发性输卵管癌,超声诊断符合率为50%(16/32),误诊率为50%,10例误诊为卵巢癌,3例误诊为附件区炎性包块,1例误诊为输卵管积水,1例误诊为宫颈后唇肿瘤。结论:分析典型原发性输卵管癌的声像图特征,与其它盆腔占位性病变相鉴别,可以提高原发性输卵管癌的超声诊断符合率,为临床早期发现、及时治疗提供诊断依据。
Objective: To investigate the value of transvaginal sonography in the diagnosis of primary fallopian tube cancer. Methods: A retrospective analysis of our hospital from August 2000 to October 2006 3 cases and Zhejiang University Maternity Hospital from November 1991 to August 2006 29 cases were diagnosed by surgery and pathology of primary tubal Cancer patients with relevant information, all cases of preoperative vaginal two-dimensional and color Doppler ultrasound. Results: 16 cases were diagnosed as primary fallopian tube carcinoma by transvaginal ultrasonography. The coincidence rate of ultrasonic diagnosis was 50% (16/32), the misdiagnosis rate was 50%, 10 cases were misdiagnosed as ovarian cancer and 3 cases were misdiagnosed as attachment zone inflammation One case was misdiagnosed as hydrosalpinx and one case was misdiagnosed as cervical posterior lip tumor. Conclusion: Analyzing the features of typical primary fallopian tube carcinoma and distinguishing it from other pelvic space lesions can improve the coincidence rate of ultrasonic diagnosis of primary fallopian tube cancer and provide a basis for early detection and timely treatment.