子宫肌瘤与子宫腺肌病的超声诊断分析

ANALYSIS OF ULTRASONOGRAPHY OF CASES OF HYSTEROMYOMA AND ADENOMYOSIS

目的探讨子宫肌瘤与子宫腺肌病B超图像特征及其鉴别诊断。方法常规B超检查子宫肌瘤65例,子宫腺肌病41例,并将两者B超图像进行比较分析。结果61例子宫肌瘤(93.8%)有假包膜或界限清楚,38例腺肌病(92.7%)界限欠清;54例子宫肌瘤(83.1%)探及栅栏样图像,54例(83.1%)后方回声衰减,36例(55.4%)呈低回声,6例(9.2%)呈高回声;而腺肌病11例(26.8%)呈栅栏样图像,3例(7.3%)后方回声衰减,4例(9.8%)呈低回声,24例(58.5%)呈高回声,两者比较差异有显著性(P<0.01)。结论B超对子宫肌瘤和腺肌病的诊断与鉴别诊断具有重要作用。

Objective To evaluate the sonographic characteristics and differential diagnosis of hysteromyoma and adenomyosis. Methods 65 cases with hysteromyoma and 41 cases with adenomyosis were given B-ultrosonic examination The ultrasonograms were made for a comparative analysis. Results 61cases with hysteromyoma（93.8 %） showed pseudocapsules or discernible boundaries, 38 cases with adenomyosis （92.7 %） showed indiscernible boundaries, 54 cases with hysteromyoma （83.1% ） showed paling pictures, 54 cases （83.1% ） showed posterior echo attenuation, 36 cases （55.4 %） showed hypoechoes , and 6 cases （9.2 %） showed hyperechoes. But only 11cases with adenomyosis（26.8 %） showed paling pictures, 3 cases （7.3 %） showed posterior echo attenuation,4 cases （9.8%） showed hypoechoes,and 24 cases （58.5%） showed hyperechoes. The results showed significant difference between them（P〈0.01）. Conclusion Diagnosis and differential diagnosis of hysteromyoma and adenomyosis are possible and practical by B-ultrasonography.