二维及彩色多普勒超声对子宫肌瘤和子宫腺肌病的诊断价值分析

Two-dimensional and Color Doppler Ultrasound Diagnosis Uterine Fibroids and Adenomyosis

目的 对比分析二维及彩色多普勒超声对子宫肌瘤和子宫腺肌病的诊断价值。方法 选择2008年6月-2009年6月在我院住院治疗确诊的子宫肌瘤患者40例和子宫腺肌病患者36例作为观察对象，应用二维及彩色多普勒超声对两种疾病的超声声像图及CDFI检查做回顾性分析。结果 超声诊断40例子宫肌瘤，病理证实38例，超声诊断符合率为95．0％；超声诊断36例子宫腺肌病，其中病理证实33例，超声诊断符合率为91．7％。子宫肌瘤的RI（0．55±0．04）明显低于子宫腺肌病HI（0．72±0．06），差异有统计学意义，P〈0．05。结论 二维及彩色多普勒超声对子宫肌瘤和子宫腺肌病的诊断及鉴别诊断能够提供可靠的诊断依据，值得推广和应用。

Objective To analyze two-dimensional and color Doppler ultrasound for uterine fibroids and adenomyosis diagnosis. Methods All of 40 patients with uterine fibroids,adenomyosis 36 patients selected for observation as an object,two-dimensional and color Doppler ultrasound of the two disease and CDFI sonographic examination analyzed retrospectively. Results Ultrasound diagnosis of 40 cases of uterine fibroids,pathologically confirmed in 38 cases,ultrasound diagnosis was 95.0%. Ultrasound diagnosis 36 cases of uterine adenomyosis,which pathologically confirmed 33 cases ultrasound diagnosis was 91.7%. Uterine fibroids RI（0.55±0.04） was significantly lower than adenomyosis（0.72±O.06）,the difference was statistically significant,P〈0.05. Conclusion Two-dimensional and color Doppler ultrasound for uterine fibroids and adenomyosis diagnosis and differential diagnosis can provide a reliable diagnosis,should be promoted and applied.