声流：一种评估附件囊肿的新技术。

Acoustic streaming: a new technique for assessing adnexal cysts.

作者信息

Edwards A, Clarke L, Piessens S, Graham E, Shekleton P

机构信息

Ultrasound Department, Monash Medical Centre, Southern Health, Clayton Road, Clayton, Victoria, Australia.

出版信息

Ultrasound Obstet Gynecol. 2003 Jul;22(1):74-8. doi: 10.1002/uog.156.

DOI:10.1002/uog.156

PMID:12858308

Abstract

OBJECTIVES

To determine whether acoustic streaming has clinical value in the differentiation between various ovarian and adnexal cysts.

METHODS

We assessed 29 adnexal cysts, for which pathological diagnosis was available, for the presence of acoustic streaming during B-mode and color sonographic evaluation.

RESULTS

Acoustic streaming was detected in 15 (52%) of the cysts. The most common cyst, endometrioma (n = 7), did not exhibit acoustic streaming in any case, while of the remaining 22 cysts, 15 exhibited acoustic streaming (P = 0.0017). Dermoid cysts exhibited acoustic streaming in two of six (33%) cases. In addition acoustic streaming was noted in two of two (100%) hemorrhagic cysts, eight of ten (80%) cystadenomas, two of three (67%) malignant cysts and in the one abscess.

CONCLUSIONS

Acoustic streaming is the first sonographic feature that may be able to completely exclude endometrioma as a possible diagnosis for an adnexal cyst.

摘要

目的

确定声流在鉴别各种卵巢及附件囊肿方面是否具有临床价值。

方法

我们评估了29个有病理诊断结果的附件囊肿，在B超和彩色超声检查时观察是否存在声流。

结果

15个（52%）囊肿检测到有声流。最常见的囊肿——子宫内膜瘤（n = 7），无一例出现声流，而其余22个囊肿中，15个出现声流（P = 0.0017）。皮样囊肿在6个病例中有2个（33%）出现声流。此外，2个出血性囊肿中的2个（100%）、10个囊腺瘤中的8个（80%）、3个恶性囊肿中的2个（67%）以及1个脓肿均观察到声流。