盆腔子宫内膜异位症的影像诊断价值

目的探讨盆腔子宫内膜异位症的影像表现和诊断价值.方法：总结收集16 例拟诊断为盆腔子宫内膜异位症患者的影像表现,均行手术或超声引导下穿刺.结果：16 例患者中,子宫内膜异位症11 例.误诊5 例,分别为卵巢癌1 例,子宫肌瘤2 例.慢性盆腔炎1 例,卵巢输卵管慢性脓肿1 例.子宫内膜异位症的影像学表现大部分均以囊实性的病变为主.结论：了解病史及临床表现,以子宫内膜异位症的基本病理变化为基础,结合影像学多种检查方法可很好地显示出子宫内膜异位症的部位及病变成分;子宫内膜异位症有其一定的影像表现特点,对误诊病例的分析,可以很大程度提高影像诊断的准确性,避免漏诊或误诊.

Aim Discuss the pelvic endometriosis’s video symptom and the value of diagnosis.Methods： Summarize and gather sixteen patients’ video symptom of the pelvicendometriosis. They are operated or puctured by the ultrasound. As a result, among the sixteen patients, there are eleven patients who are diagnosed with the pelvic endometriosis.There are five patients who are wrong diagnosed ： one ovarian cancer, two myoma of uterus, one chronic pelvic inflammatory disease, one ovaries fallopian tube chronic abscess. Theendometriosis’ video symptom is mostly based on cystic solid lesions.Conclusion： Learn the medical history and clinical manifestation .Based on the basic pathological change of thepelvic endometriosis and connecting many examination ways of video, it can show the position and lesions in the composition of the pelvic endometriosis. The pelvic endometriosishas some video characteristic. For the wrong diagnosed case, it can largely improve the accuracy of the video diagnosis and avid the wrong diagnosis or the diagnosis of omission.