Abstract：Objective: To study the value of the ultrasonography in the diagnosis and differential diagnosis of malignant ovarian tumors and the coincidence rate with pathological diagnosis. Methods: 185 patients with ovarian malignant tumor got resection. The ultrasonographic characteristics of ovarian malignant tumors before surgery were reviewed and correlated with pathological results after surgery. Results: A total of 185 patients with 195 tumors were collected into this study. Ultrasound showed cystic lesions in 6 (6/195), accounted for 3%; cystic-solid lesions in 141(141/195), accounted for 72.3%; mainly solid 48(48/195), accounted for 24.7%; the ultrasonic characteristics of ovarian malignant tumors were correlated with the postoperative pathological diagnosis. In malignant ovarian tumor there was rich vascular supply, multiple-vascellum distributed diffusively in the tumor or internal parenchymal ingredients, demonstrated as fasciculation, dendritic or ball shape vascular network, 2~3 grade disorder bloodstream in the center of parenchymal, the coincidence rate of the image features with postoperative pathological diagnosis was 95.7%. Conclusion: The coincidence rate of the ultrasound images of ovarian malignant tumors is high. Ultrasonography has important diagnostic value, women in reproductive age should carry out routine ovarian ultrasound inspection regularly.
2014, Vol. 25 
