不同年龄女童附件扭转的超声图像特征分析

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Analysis of ultrasound imaging features of adnexal torsion in girls of different ages

ZHANG Chen，ZHAO Jinghan，MA Yao，DONG Juan，ZHANG Jie，CHEN Chen，QIN Ming DepartmentofUtrasoundMdicine，theAfiliatedXuzhouChildren’sHospitalofXuzhouMedicalUniversityXuzhou，China

ABSTRACTObjectiveTo analyzeandsummarize theultrasound imaging features of adnexal torsion in girlsof diffrentages.MethodsAtotalof48girlswithadnexaltorsionconfirmedbysurgeryandpathologyinour hospital were selected and divided into three groups according to age ： younger age group（ <3 years），middle age group（3-12 years），and older age group （ >12-16 years）.Diffrences in clinical data and ultrasound imaging features among the groups were analyzed and compared.ResultsComparisonofclinicaldatashowed statisticallysignificantdiferencesamong thegroups intheproportions of abdominal pain，vomiting or nausea，mass，adnexal necrosis，and etiology（all P <0.05）.No significant differences were found in torsionlocation or torsion typeamong the groups.Comparison of ultrasound imaging features showed a statistically significant difference in the proportion of fluid-debris levels among the groups （ P<0.001 ）.No significant differences were observed in the proportionsofhrlolsignvarianenlargementoranexalmass，varianstromaldema，peripheralfollularsign，follular ring sign，abdominopelvicefusion，adnexal position change，orovariancolor flow scoreamong thegroups.ConclusionThere are somediferences inetiology，clinicalmanifestations，andultrasound imaging featuresamonggirlswithadnexal torsionin differentage groups.The fluid-debris level is more likely to occur in younger girls with adnexal torsion.

KEYWORDS Ultrasonography;Imaging features;Girls;Adnexal torsion

附件扭转是指卵巢或输卵管沿骨盆漏斗韧带及卵巢固有韧带轴线发生的解剖学变位1，可导致血运障碍，若长时间未纠正则可能继发附件缺血坏死，严重者可并发腹盆腔感染，甚至出现感染性休克而危及生命2。（剩余8157字）