超声诊断腹壁子宫内膜异位症的临床应用分析

Analysis of ultrasound applied in diagnosis of abdominal wall endometriosis

目的回顾性分析腹壁子宫内膜异位症患者的超声影像图的特征,探讨超声在腹壁子宫内膜异位症诊断中的应用价值。方法回顾性分析2005年1月~2014年1月期间浙江义乌市中心医院收治的接受腹壁肿物切除术的患者共128例,病灶135个,所有关于超声影像的分类以及描述均由2名工作年限高于10年的医生同时进行,结论一致后纳入研究结果进行统计学分析。结果≥3 cm组病灶外形不规则率高于〈3 cm组（χ2=16.937,P〈0.05）,≥3 cm组病灶深度较〈3 cm组更深（χ2=27.947,P〈0.05）,≥3 cm组病灶边界不清晰率高于〈3 cm组（χ2=21.829,P〈0.05）,两组病灶的强回声情况具有显著性差异,〈3 cm组高于≥3 cm组（χ2=22.481,P〈0.05）,两组回声以及回声的均匀情况比较无显著性差异（χ2=0.015,0.113,P〉0.05）,两组病灶纵横比以及内部回声区无显著性差异（χ2=0.774,0.395,P〉0.05）,两组病灶钙化影像无显著性差异（χ2=0.184,P〉0.05）,血流信号在两组病灶影像中有显著性差异（χ2=13.943,P〈0.05）。结论腹壁子宫内膜异位症病灶具有较为明显的特征,但在临床诊治中还需结合患者的病史资料,对病灶大小以及累及范围进行评估,很好地为手术治疗提供参考。

【Objectives】To analyze the feature of ultrasound image maps of abdominal wall endometriosis and investigate the value of ultrasound applied in diagnosis of abdominal wall endometriosis. 【Methods】128 cases of abdominal tumor resection patients treated in our hospital from January 2005 to 2014 were selected and analyzed retrospectively with 135 lesions. All classification and description of the ultrasonography were operated by two doctors with more than 10 years＇ working experience, and the conclusion would not be analyzed until reached consensus. 【Results】The rate of irregularities of lesion appearance in ≥3 cm group was higher than that in3 cm group（χ2= 16.937, P 0.05）, and the depth in ≥3 cm group was deeper than that in 3cm group（χ2=27.947, P〈 0.05）. The rate of blurred boundaries was higher in ≥3 cm group than that in 3 cm group（χ2=21.829, P〈0.05）, and there was statistical difference of situation of hyperechoic between the two groups, it was higher in3 cm group than that in ≥ 3 cm group（χ2=22.481, P 〈0.05）. There were no statistical difference of echo, uniform, aspect ratio and internal echo area between the two groups（χ2=0.015, 0.113, 0.774, 0.395, all P〉 0.05）. 【Conclusions】Abdominal wall endometriosis had obvious feature of sonographic, but history data should still be considered to assess the size and scope of lesions to provide reference for surgery.