子宫腺肌症的超声诊断价值探讨

Value of ultrasonography in the diagnosis of uterine adenomyosis

目的探讨彩色多普勒超声对子宫腺肌症的诊断价值。方法对2007年—2010年收治的198例子宫腺肌症患者手术前声像图与手术后病理结果进行对照分析。结果 25例子宫腺肌症误诊为子宫肌瘤,19例子宫腺肌症并腺肌瘤误诊为腺肌症并子宫肌瘤,4例子宫腺肌症诊断为单纯性子宫肥大症,其余的150例基本符合,符合率达76%。病变分布以子宫后壁及均匀弥散性多见,分别占43.9%(87例)和40.4%(80例),而子宫前壁、底部及双角则较少。结论超声是诊断子宫腺肌症的首选方法。

Objective Study on ultrasound in the diagnosis of uterine adenomyosis.Methods Collection this homes since 2007 to 2010 of 198 cases uterine glands muscle syndrome surgery Qian sound figure and surgery Hou pathology results relative as analysis.Results which has 25 cases uterine glands muscle syndrome misdiagnosis for uterine muscle tumor, 19 eases uterine glands muscle syndrome and glands muscle tumor misdiagnosis for glands muscle syndrome and uterine muscle tumor, 4 cases uterine glands muscle syndrome diagnosis for simple sexual uterine mast syndrome, remaining of 170 cases basic meet, meet rate up 76%; lesions distribution parts to uterine Hou wall and the uniform diffuse sexual more see, respectively accounted for 43.8% （87 cases） and 40.6 % （80）, and the uterine wall, bottom and double angles is less.Conclusion Ultrasound is the preferred method of diagnosis of adenomyosis.