盆腔子宫内膜异位症的B超诊断

B-ultrasonographic diagnosis of pelvie endometriosls

本文报道20例手术及病理证实的盆腔子宫内膜异位患者,术前行B超探查诊断出27个卵巢子宫内膜异位囊肿,与手术及病理检查对照,其包块物理学性质符合率为100％,诊断准确率为85％,(17/20)。本文将盆腔子宫内膜异位症的声像图分为囊性型、囊一实型、实质型三种,煎两型占85％(17/20).本文12例做了月经前后B超检查对照,其包块大小、形态、内部回声在月经前后有程度不等的变化.盆腔子宫内膜异位症的正确诊断须依据病史,临床症状及B超探测结果,进行综合判断。

This paper reported 20 patients with pelvic endometriosis confirmed by surgical pathology. Twenty-seven ovarian chocolate cysts were diagnosed by ultrasonography before the operation. Compared with the surgical diagnosis, the physical property consistency was 100%, and correet diagnostic rate was 85%(17/20). We divided the ultrasonogaphy of pelvic cndonictriosis into three types; cystic, solid, and mixed The cystic and mixcd types accounted for 88%(15/17). Contrast ultrasonogaphic study showed that the ovarian masses underwent variable changes before and after menstruation in size shape and internal echo. Correet diagnosis of pelvic endometriosis entails combination of ultrasonogaphy with history and elinical manifestations.