子宫腺肌病100例超声诊断体会

Experience of Ultrasonic Diagnosis in 100 cases of Adenomyosis

目的:探讨超声诊断子宫腺肌病的临床价值。方法:选择我院收治的均由术后病理证实的子宫腺肌病病例100例,对其二维图像特征及彩色多普勒血流特征进行回顾性分析。结果:在本组100例病例中,超声诊断与病理结果相符98例,符合率为98.0%,局限性子宫腺肌病误诊为子宫肌瘤2例;合并卵巢巧克力囊肿72例,漏诊8例,诊断率为90.0%;合并子宫肌瘤38例均符合。结论:超声诊断子宫腺肌病准确率较高,可为临床诊断及治疗提供重要的参考依据。

Objective： To discuss the clinical value of ultrasonic diagnosis in the cases of adenomyosis. Methods： 100 cases of adenomyosis that were finally proved by pathological testing after surgical operation were selected and retrospectively analysised the characteristics of 2-D image and color Doppler flow imaging of the cases. Results： In the group of 100 cases that were selected, 98 cases were diagnosed as adenomyosis, making up a coincidence rate of 98.0%. 2 cases of localized adenomyosis were misdiagnosed as uterine myoma. 72 cases merging chocolate cyst of ovary were diagnosed by ultrasonic testing, while 8 cases were missed, making up a diagnostic rate of 90.0%. 38 cases merging uterine myoma were all diagnosed. Conclusion： Since the precision could be quite high, ultrasonic testing would provide much of important reference for the clinical diagnosis and treatment in the cases of adenomyosis.