经阴道彩色多普勒超声对子宫腺肌病与子宫肌瘤的鉴别诊断

The Differentiation between Adenomyosis and Hysteromyoma by Transvaginal Color Doppler Ultrasound

目的:探讨经阴道彩色多普勒超声检查对子宫腺肌病与子宫肌瘤鉴别诊断的价值。方法:对临床手术及病理检查证实的42例子宫腺肌病和47例子宫肌瘤的临床表现以及经阴道超声检查结果进行比较分析。结果:子宫腺肌病和子宫肌瘤超声诊断符合率分别为89.4%和71.4%。宫腔手术史、进行性加重的痛经症状、病灶内部及边界回声以及CDFI血流走行有助于子宫腺肌病与子宫肌瘤的鉴别诊断。结论:经阴道彩色多普勒超声检查结合临床表现对子宫腺肌病和子宫肌瘤的鉴别诊断具有临床实用价值。

Objective： To explore the clinical value of transvaginal color doppler ultrasound for differentiation of adenomyosis from hysteromyoma. Methods： The transvaginal 2D image and color doppler index of 42 adenomyosis cases and 47 hysteromyoma cases were analyzed combining their clinic indications. Results： The ultrasonic diagnosis coincidence rate of adenomyosis and hysteromyoma were 89.4% and 71.4%. The operation of uterus cavity, aggravating dysmenorrhea, echo and boundary of lesions, CDFI of lesions are the differentiations of adenomyosis from hysteromyoma. Conclusions： It had an important value for the differentiation of adenomyosis from hysteromyoma when combining transvaginal 2D, color doppler imagine and clinical indications.