经腹及阴道超声联合诊断子宫肥大症与子宫腺肌症

Trans-abdomen and Transvagina Ultrasonic Diagnosis:226 Patients of Hypertrophy of Uterus and Endometriosis of Uterus

目的探讨子宫肥大症与子宫腺肌症的声像图特征,以提高超声检查对两者的鉴别诊断。方法收集患者226例,术前经超声检查诊断为子宫肥大症或单纯内在型子宫腺肌症,术后行病理对照。子宫腺肌症患者按病情不同分为轻度腺肌症,前壁增厚型腺肌症,后壁增厚型腺肌症3组,并与子宫肥大症组,正常人组进行对比分析。结果将各组患者声像图特点与临床资料结果进行统计学分析,经过t检验,子宫肥大症与子宫前壁增厚型及后壁增厚型腺肌症组有高度的统计学意义,(P<0.001)。结论子宫腺肌症与子宫肥大症均有特征性声像图表现,结合临床资料两者可以进行明确的诊断与鉴别诊断。

Objective To discuss the sonogram characters of hypertrophy of uterus and endometriosis of uterus, in order to improve the rate of differential diagnosis. Methods 226 patients after operation of clinic service and hospitalization in my hospital were collected. They were preoperatively diagnosed as hypertrophy of uterns or simple internal-type endometriosis of uterus by ultrasonograph. Postoperatively pathological examination was made as control. The patients with endometriosis of uterus were divided into three groups according to different pathogenetic condition： low degree of endometriosis of uterus, anterior wall thickening of endometriosis of uterus posterior wall thickening of endometriosis of uterus. All of them were compared with the patients with hypertrophy of uterus and health persons. Results The volume of uterus of anterior and posterior wall thickening of endometriosis of uterus was obviously larger than that of hypertrophy of uterus. The shifting of uterus cavity line of the former was different from that of the latter. The procreation frequency and the days of menstruation of the former were fewer than that of the latter. The induced abortion frequency and time limit of menalgia of the former were more than that of the latter. Conclusion The sonogram characters of hypertrophy of uterus and endometriosis of uterus are significant, the two diseases can be definitely diagnosis and differential diagnosis by ultrasonograph conbinated with clinical data.