经阴道彩色多普勒超声对带蒂子宫黏膜下肌瘤的诊断意义

The Clinical Significance of Transvaginal Color Doppler Ultrasound in the Diagnosis of Pedicle Submucosal Uterine Fibroids

目的:探讨经阴道彩色多普勒超声(TVCDS)在诊断带蒂子宫黏膜下肌瘤的临床意义。方法:回顾性分析32例带蒂子宫黏膜下肌瘤手术病例的超声表现。结果:带蒂黏膜下肌瘤在TVCDS的影像表现多为位于宫腔下段或宫颈管内类圆形或圆形肿块,内部为均匀或不均匀的低回声,可见一"I"字形强回声蒂,长短不一,其上端常连接于宫腔中上段内膜基底层,该处内膜连续性中断,下端与瘤体部分相连,瘤体可以观察到由蒂下行的低速血流信号。结论:TVCDS对带蒂子宫,黏膜下肌瘤有比较高的临床诊断价值。

Objective To evaluate the diagnostic value of transvaginal color doppler sonography（TVCDS）in submucos myomas. Methods Retrospective analysis of 32 cases of submucosal pedicle fibroid surgery cases sonographic findingsResults Submucous myomas mostly located in uterine segment or cervix tube type of round or circular lump, internal for homogeneous or inhomogeneous low echo, with a strong ＂I＂ glyph, length is differ, the upper end of uterine cavity upper segment lining is often connected to base layer, lining continuity interrupted, the lower end connected to the tumors, the tumors can be observed by the downward low speed blood flow signals. Conclusions TVCDS has higher clinic value to submucous myomas.