介入性超声诊断子宫腺肌症

The Interventional Ultrasonic Diagnosis of Adenomyosis

目的：通过在宫腔镜手术中的介入性超声研究，提高子宫腺肌症的诊断。材料和方法：采用超声双项对比法观察宫腔镜手术中子宫腺肌症的声像图特征。结果：介入性超声显示：（１）灌流液渗入肌壁；（２）气体随灌流液进入肌壁在子宫前壁形成云雾状强回声；（３）子宫内壁在电热作用下形成的强回声光带迅速消失。结论：介入性超声的应用可提高子宫腺肌症的诊断准确率、防止子宫穿孔并指导术后治疗。

Purpose: In order to enhance the accuracy of ultrasound diagnosis of adenomyosis, an interventional ultrasoinc study during hysteroscopy was carried out. Materials and Methods: The resection was monitoring by the two contrasts method of ultrasonography for observing the feature of the adenomyosis. Results: The interventional ultrasonic displayed: (1) fluid miedium seeped into the myometrium; (2) the cloudy and strong echo was displayed on the anterior uterine wall due to the fluid medium and air entered into the myometrium and (3) the intensity echo band which as a result of the high electric frequency disappeared rapidly. Conclusion: As our study show: by applying interventional ultragraphy, it not only enhanced the diagnostic accordance rate of adenomyosis, but also prevented perforation and guided postoperative treatment.