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卵巢囊肿的常做检查有哪些?What are the common examinations for ovarian cysts?

  • 来源:xjat
  • 作者:xjat
  • 更新日期:2019-04-27 20:49
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卵巢囊肿的常做检查有哪些呢?陈凤林教授指出:卵巢囊肿常做的辅助检查如下:What are the common examinations for ovarian cysts? Professor Chen Fenglin pointed out that the assistant examinations for ovarian cysts are as follows: 1、影像学检查:

卵巢囊肿的常做检查有哪些呢?陈凤林教授指出:卵巢囊肿常做的辅助检查如下:What are the common examinations for ovarian cysts? Professor Chen Fenglin pointed out that the assistant examinations for ovarian cysts are as follows:

1、影像学检查:阴道全景四维彩超:临床诊断符合率大于90%,提示卵巢肿物形状规则,边界整齐,清楚,壁光滑,内部为无回声区。(腹部X线摄片:卵巢畸胎瘤可显示牙齿、骨质及钙化囊壁。CT、MRI、PET检查:可显示肿块及肿块与周围的关系,肝、肺有无结节及腹膜后淋巴结有无转移。良性肿瘤囊壁薄,光滑,囊内均匀;恶性肿瘤轮廓不规则,向周围浸润或伴腹水。)

1. Imaging examination: Vaginal panoramic four-dimensional color Doppler ultrasound: the coincidence rate of clinical diagnosis is more than 90%, suggesting that ovarian masses have regular shape, clear boundary, smooth wall and no echo area inside. Abdominal X-ray: Ovarian teratoma can show teeth, bone and calcified cyst wall. CT, MRI and PET examination showed the relationship between the mass and its surroundings, whether there were nodules in liver and lung and whether there were metastases in retroperitoneal lymph nodes. Benign tumors have thin, smooth cystic walls and homogeneous cysts. Malignant tumors have irregular outlines and infiltrate around or with ascites. )

2、肿瘤标志物:2. Tumor markers:

(1)血清CA125:敏感性较高,特异性较差。80%卵巢上皮性癌患者血清CA125水平升高;90%以上患者CA125水平与病情缓解或恶化相关,故可用于病情监测。

(1) Serum CA125: has high sensitivity and poor specificity. Serum CA125 level increased in 80% of patients with epithelial ovarian cancer and was related to remission or deterioration in more than 90% of patients, so it can be used for disease monitoring.

(2)血清AFP:对卵黄囊瘤有特异性诊断价值。未成熟畸胎瘤、混合性无性细胞瘤中含卵黄囊成分者,AFP也可升高。

(2) Serum AFP: Specific diagnostic value for yolk cysts. Egg cystic formation in immature teratoma and mixed asexual cell tumors

(3)hCG:对原发性卵巢绒毛膜癌有特异性。

(3) hCG: It is specific to primary ovarian chorionic carcinoma.

3、激素六项3, six hormones

4、腹腔镜检查:集诊断与治疗一体,同时可取组织进行病理检查。

4、Laparoscopic examination: combination of diagnosis and treatment, while the organization can be performed pathological examination.

5、病理检查:可最后确诊。5, pathological examination: can be finally diagnosed.

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