超声显像对子宫腺肌症诊断及鉴别诊断探讨

Two-climensional ultrasound image evaluation on the diagnosis and differention of adenomyosis

目的总结子宫腺肌症的超声图像(经腹部、阴道)、彩色多普勒技术(CDFI)特征,探讨其诊断、鉴别诊断。方法通过术前超声图像、彩色多普勒血流表现与手术病理结果对照来探讨子宫腺肌症的特性、鉴别要点。结果38例子宫腺肌症超声诊断符合率81.6%,误诊为子宫肌瘤占15.8%。结论子宫腺肌症弥漫型,结合病史,多能明确诊断;局限型偏低回声病例易误诊,误诊率10.5%。鉴别要点:综合分析团块的形态、回声、与周围组织界限是否清晰及彩色多普勒血流特点。

Objective To evaluate the differentitation of two - dimensional ultrasonnd image （ through abdomen and vagina） and CDFI in the adenomyosis. Methods The imaging characteristics of 38 patients with adenomyosis were compared with pathologic results, Results Ultrasonographic coincidence rate of the thirty eight patients was 81.6%. Some of the patients were mistaken as hysteromyoma, the misdiagosis was 15, 8%. Conclusion Most of the diffuse adenomyosis were diagnosed by medical history,but the localized ones with the low side echogenicity were mistaken and the misdiagnosis was 10, 5%, Differential point To analyze whether the shape,echogenicity and margin of mass is clear or not and whether is Color Doppler blood flow round the mass.