经阴道三维超声及阴道三维彩色多普勒成像技术诊断子宫腺肌病的临床价值

The clinical medicine value of diagonosing adenomyosis of uterus through vaginal three-dimentional ultrasound and vaginal three dimentional colorful dopper imaging

目的探讨经阴道三维超声用阴道三维彩色多普勒成像技术对子宫腺肌病的诊断价值。方法对22例患者进行术前经阴道三维超声及三维彩色多普勒成像技术检查,并对术后病理结果对比分析。检查结果与术后病理结果进行对比分析。结果有22例病人术前经阴道三维超声,见子宫各径线增大,宫壁回声增粗,21例宫壁内见散在微囊腔,16例合并散在微钙化点,22例经阴道三维及阴道三维彩色多普勒显示病灶内血管增多紊乱,管壁光滑清晰,且有高速高阻力动脉频谱。结论经阴道三维超声及阴道三维彩色多普勒血流图能清晰地反映子宫腺肌病的超声特征,且明确地定位病变的位置与范围,对二维超声做出有益的补充,对妇科手术方案的制定具有指导意义,具有比较广泛的临床应用前景。

Objective Investigating the diagonosis and checking for color nomysis of uterus, through vaginal three dimentional colorful dopper imagingtechnigue comparing and unalysing between the checking result and pathology recult after operating. Methods Through vaginal three dimentional Ultrasound and three dimentional colorful Dolpra image check for 22 cases before operation and compared the results and analysed with pathological diagnosis after the operation. Compared and analysed every case with pathological result. Results 22 cases were found to increase in all uteral dimention, and become thicker from the echo of uterus wall through vagina three-dimension ultrasound before surgery, 21 cases were found to have micro crystals internal of uterus wall. Through vagina three-dimension ultrasound and uterus colorful dopper, 22 cases can be seen to have blood vessels inereasing, smooth and clear on vessel walls, also have high-speed and high vosistance artery spectrum. Conclusions Through vaginal 3-dimensinal ultrasound and vaginal 3-dimentional colorful dopra blood map, it can clearly reflect the ultrasonic characteristics of uteras adenomyosis and decide the disease location and scope, which is the useful supplement for 2-dimentianal ultrasound and has guiding significance for the determination of the gynecllogical surgery and has wider foreground for the clinical application.