[1]严霞瑜,罗红,张美琴,等.3例女性盆腔脾种植超声图像分析[J].第三军医大学学报,2016,38(24):2621-2624.
 Yan Xiayu,Luo Hong,Zhang Meiqin,et al.Ultrasonographic features of pelvic splenosis in 3 female patients[J].J Third Mil Med Univ,2016,38(24):2621-2624.
点击复制

3例女性盆腔脾种植超声图像分析(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
38卷
期数:
2016年第24期
页码:
2621-2624
栏目:
临床医学
出版日期:
2016-12-30

文章信息/Info

Title:
Ultrasonographic features of pelvic splenosis in 3 female patients
作者:
严霞瑜罗红张美琴杨帆田雨唐英
四川大学华西第二医院超声科,妇儿疾病与出生缺陷教育部重点实验室
Author(s):
Yan Xiayu Luo Hong Zhang Meiqin Yang Fan Tian Yu Tang Ying

Department of Ultrasonography, Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu,Sichuan Province, 610041, China

关键词:
脾种植盆腔异位脾超声检查
Keywords:
ectopic splenic autotransplantation pelvic splenosis ultrasonic diagnosis  
分类号:
R322.65;R445.1;R657.6
文献标志码:
A
摘要:

目的       探讨女性盆腔脾种植超声图像特点。方法      回顾性分析经手术病理证实的3例女性盆腔脾种植共计7个包块的临床及超声图文资料,分析总结其特点。结果     盆腔脾种植包块71.43%(5/7)位于右卵巢旁,28.57%(2/7)位于左卵巢旁;二维超声均表现为盆腔内稍强于子宫肌壁的实性均匀等回声,无囊性,边界清楚,有包膜;彩色多普勒超声显示肿物内血流丰富:Alder Ⅱ级,占57.14%(4/7),Alder Ⅲ级,占42.86%(3/7);测量其中5个肿物的血流频谱,均呈中等阻力型(RI:0.55~0.63)。结论       女性盆腔脾种植具有实性、均匀、稍强于子宫肌壁的等回声等超声图像特征,Alder Ⅱ~Ⅲ级,中等阻力,结合脾切术史,在诊断脾种植和鉴别妇科疾病时具有重要价值。

Abstract:

Objective      To study the imaging features of female pelvic splenosis using ultrasonography. Methods     The clinical and sonographic data of 3 cases, a total of 7 masses histopathologically proved as pelvic splenosis, were retrospectively analyzed. Results     There were 71.43%(5/7)of pelvic splenosis found to localize to the right ovary and 28.57%(2/7) to the left ovary. Two-dimensional gray-scale sonographic imaging revealed a slightly stronger homogeneous echo in the pelvic cavity compared to the echoes detected in the myometrium. The masses were non-cystic showing clear boundary with capsule. The color Doppler ultrasonography showed sufficient blood supply of the masses. The degree of blood flow was graded to Adler Ⅱ and Ⅲ, accounting for 57.14%(4/7) and 42.86%(3/7),respectively. The resistance index (RI) of blood flow measured in 5 pelvic splenosis was moderate(RI:0.55~0.63). Conclusion     The ultrasonographic imaging of pelvic splenosis is featured with homogeneous echo pattern, which is a slightly stronger than echo in myometrium. The blood flow is classified to Adler Ⅱ~Ⅲ grade with moderate resistance. The typical sonography features combined with splenectomy history is important for the diagnosis of pelvic splenosis and distinguishing it from other gynecological disease.

参考文献/References:

[1]VercherConejero J L, BelloArqués P, PelegríMartínez L, et al. Abdominal splenosis: an often underdiagnosed entity[J]. Rev Esp Med Nucl, 2011, 30(2): 97-100. DOI:10.1016/j.remn.2010.04.009
[2]Gerber D, Frey M K, Caputo T A. Pelvic splenosis misdiagnosed as a uterine sarcoma[J]. Gynecol Oncol Rep, 2015,12:1-2. DOI: 10.1016/j.gore.2015.01.004. eCollection 2015
[3]Anrique D, Anton A, Krüger K , et al. Splenosis: an uncommon differential diagnosis in gynecology[J]. J Minim Invasive Gynecol, 2013, 20(5): 708-709. DOI:10.1016/j.jmig.2013.03.002
[4]Parnell B A, Palmer C B 4th, Forstein D A. Pelvic splenosis presenting as posterior cervical mass[J]. South Med J, 2010, 103(4): 388-389. DOI:10.1097/SMJ.0b013e3181d3930a
[5]Talati H, Radhi J. Ovarian splenosis: a case report[J]. Case Rep Med, 2010, 2010: 472162. DOI:10.1155/2010/472162
[6]曾莉, 石钢. 盆腔种植脾误诊为妇科肿瘤1例[J]. 实用妇产科杂志,2010,26(12): 949-949.DOI:10.3969/j.issn.1003-6946.2010.12.030
[7]Yang B, Yang G Z, Shi P Z, et al. Abdominal splenosis:CT and MRI features of 2 cases[J]. Chin J Traumatol, 2007, 10(6): 381-384.
[8]Merran S, Karila-Cohen P, Servois V. CT anatomy of the normal spleen: variants and pitfalls[J]. J Radiol, 2007, 88(4): 549-558. DOI:10.1016/s02210363(07)898544
[9]涂灿, 汪建华, 邓生德, 等. 脾切除术后意外脾种植的影像学表现[J]. 中华肝胆外科杂志, 2015, 21(9): 616-619. DOI:10.3760/cma.j.issn.1007-8118.2015.09.010
[10]Protopapas A, Stipsaneli A, Athanasiou S, et al. Post-traumatic pelvic splenosis diagnosed with a combination of laparoscopy and technetium 99m red blood cell scintigraphy[J]. J Minim Invasive Gynecol, 2015, 22(2): 155-156. DOI:10.1016/j.jmig.2014.05.014
[11]Younan G, Wills E, Hafner G. Splenosis: A Rare Etiology for Bowel Obstruction-A Case Report and Review of the Literature[J]. Case Rep Surg, 2015, 2015: 890602. DOI:10.1155/2015/890602
[12]Ksiadzyna D, Pena A S. Abdominal splenosis[J]. Rev Esp Enferm Dig, 2011, 103(8): 421-426.
[13]Khosravi M R, Margulies D R, Alsabeh R,et al. Consider the diagnosis of splenosis for soft tissue masses long after any splenic injury[J]. Am Surg,2004, 70(11): 967-970.
[14]Mollo A, Granata M, De Placido G. Pelvic splenosis in an infertile patient[J]. Int J Gynaecol Obstet,2012,116(3):267. DOI:10.1016/j.ijgo.2011.10.014
[15]Jost S, Epelboin S, Valiere M, et al. Diagnosis and treatment of pelvic splenosis during exploration of infertility[J]. Gynecol Obstet Fertil, 2012, 40(4): e5-e7. DOI:10.1016/j.gyobfe.2011.07.056

更新日期/Last Update: 2016-12-21