经阴道彩色多普勒超声诊断子宫肌瘤和子宫腺肌症及腺肌瘤的临床分析

The clinical analysis of transvaginal color Doppler ultrasonography in diagnosing leiomyoma and adenomyoma

目的:本文探讨经阴道二维及彩色多普勒超声诊断子宫肌瘤、子宫腺肌症及腺肌瘤的临床应用价值。方法:我院1998年11月1日～2002年1月1日经手术病理证实子宫肌瘤、子宫腺肌症及腺肌瘤共92例,经阴道超声分析二维及彩色多普勒血流显像(CDFI)特征。结果:二维图像上均呈特征性改变;CDFI示子宫肌瘤周边血流丰富,动脉血流阻力指数RI为0.58±0.16,子宫腺肌瘤周边血流信号稀少,RI为0.74±0.07;经阴道彩色多普勒超声诊断子宫肌瘤、腺肌症符合率分别是93.1%,76.4%。结论:经阴道彩色多普勒超声为子宫肌瘤、子宫腺肌症及腺肌瘤的鉴别诊断提供有价值信息。

Objective:To explore the clinical value of transvaginal two dimensional and color Doppler ultrasonography in diagnosing uterine leiomyoma ,adenomyosis and adenomyoma.Methods:During Nov1,1998to Jan1,200292patients with leiomyoma and adenomyosis were analyzed by transvaginal color Doppler ultrasonography in our hospital,which were verified by operation and pathology.Color Doppler flow imaging was observed in patients with leiomyoma and adenomyosis.Results:Characteristic changes were observed in both methods of ultrasonography.Color Doppler flow imaging was as following:the vascular supply and blood stream at the edge of mass in patients with leiomyoma was rich and abundant,arterial flow resistant index was0.58±0.16,and spano-blood stream at edge of mass in patients with adenomyoma was found,arterial flow resistant index was0.74±0.07.The coincidence rate of transvaginal color Doppler ultrasonography in diagnosing leiomyoma and adeno-myosis was93.1%and76.4%,respectively.Conclusion:Transvaginal color Doppler ultrasonography provided differential diagno-sis in leiomyoma and adenomyosis.