Baltarowich O H, Kurtz A B, Pasto M E, Rifkin M D, Needleman L, Goldberg B B
AJR Am J Roentgenol. 1987 May;148(5):901-5. doi: 10.2214/ajr.148.5.901.
The sonograms of 76 hemorrhagic ovarian cysts were reviewed to ascertain the full spectrum of sonographic findings. All cases were proved either by surgery or by documented resolution on sonography and/or clinical follow-up. The overwhelming majority (92%) had increased sound through-transmission, signifying the basic cystic nature of the lesion. The sonographic patterns were variable. The most common appearance was that of a heterogeneous mass (83%), almost half of which were predominantly anechoic with hypoechoic material. The other cases (17%) were completely homogeneous, either hypo- or hyperechoic. No masses were completely anechoic. Additional sonographic features included a thick rim, septations, and associated cul-de-sac fluid. A rounded hyperechoic mass, representing blood clot, was contained within 13 masses. In addition, some women appeared to have an increased tendency to form ovarian cysts, suggested by the fact that 26% of them had a past, concurrent, or future episode of simple or hemorrhagic ovarian cysts. Because hemorrhagic ovarian cysts have variable sonographic findings, they should be included in the differential diagnosis of any adnexal mass that has good sound through-transmission.
回顾了76例卵巢出血性囊肿的超声图像，以确定超声检查结果的全貌。所有病例均经手术证实，或通过超声检查和/或临床随访记录的消退情况得到证实。绝大多数（92%）病例透声增强，表明病变基本为囊性。超声图像表现多样。最常见的表现是不均质肿块（83%），其中近一半主要为无回声区伴低回声物质。其他病例（17%）完全均匀，可为低回声或高回声。无肿块完全为无回声。其他超声特征包括厚壁、分隔和相关的盆腔积液。13个肿块内可见圆形高回声团块，代表血凝块。此外，一些女性似乎有形成卵巢囊肿的倾向增加，这一事实表明，其中26%的女性有过、同时存在或未来会出现单纯性或出血性卵巢囊肿。由于卵巢出血性囊肿的超声表现多样，对于任何透声良好的附件肿块进行鉴别诊断时均应考虑到本病。
