膀胱子宫内膜异位症的超声诊断价值分析

Value of Ultrasonographic Diagnosis for Bladder Endometriosis

目的探讨超声诊断膀胱子宫内膜异位症的价值。方法回顾性分析9例经病理证实、资料完整的膀胱子宫内膜异位症患者的超声声像图特征。结果超声检查显示:9例患者中,团块型5例,结节型和膀胱壁局限性增厚型各2例。声像图表现为膀胱后壁的局限性隆起性病变,大小不等,基底较宽,内部可探及小的无回声,即"筛孔状"改变;彩色多普勒检查未见明显血流信号。部分病例表现为膀胱壁的局限性增厚。结论膀胱子宫内膜异位症的超声表现有一定的特点,"筛孔样"改变具有较大的特异性。故超声检查在膀胱子宫内膜异位症诊断中具有较高的应用价值。

Objective To investigate the value of uhrasonography in the diagnosis of bladder endometriosis. Methods Uhrasonographic images of 9 cases of bladder endometriosis with complete data confirmed by pathology were retrospectively ana- lyzed. Results Of the 9 cases, 5 cases were mass - like, 2 cases were nodule - like and 2 cases had local thickening of bladder wall. Uhrasonograpby showed that the local humps in the posterior wall of bladder had different sizes with wide fundus, and small anechoic areas could be seen inside, namely sieve - like changes. Color Doppler showed no obvious blood signal. Some cases showed local thickening of bladder wall. Conclusion Uhrasonographic images of bladder endometriosis have certain characteristics. Sieve -like changes have great specificity. Ultrasonographic diagnosis has a high application value in bladder endometriosis.