子宫腺肌病误诊原因探讨

Research into the Cause of Erroneous Diagnosis in Ultrasonic Examination of Uterine Adeno - my- opathy

目的:分析超声诊断子宫腺肌病的误诊原因,提高其对腺肌病的诊断符合率。材料和方法:78例经病理检查确认为子宫腺肌病患者,年龄27～61岁,平均44岁,术前全部经超声检查。结果:超声诊断正确者32例,符合率为41.03％,误诊13例,漏诊33例。两者共占58.97％。误诊病例均为子宫肌瘤,漏诊病例中合并肌瘤者20例,子宫体积增大者5例,子宫正常者6例。结论:超声诊断腺肌病,应动态随访,紧密结合病史、临床症状和其它盆腔检查,同时要重视腺肌病与肌瘤的鉴别诊断。

Purpose: To analyze the cause of erroneous diagnosis in ultrasonic examination of uterine ade-nomyopathy and elevate its diagnostic accuracy. Materials and Methods: Seventy - eight patient with uterine ade-nomyopathy, which aged 27 - 61years with mean age 44 years were proven by pathology, all underwent ultrasonic examination befor the operation. Results: Among all 78 cases, accurately diagnosed 32 cases, the rate correspoding to pathologic diagnosis was 41. 03%, erroneously diagnosed 13 cases (16. 66% ), and leaky diagnosed 33 cases (42. 3% ). The erroneously diagnosed patients all were uterine myoma. Among leaky diagnosed patients, 20 cases were complicated with uterine myoma, 5 cases were the enlargement of uterine volume, and 6 cases were normal uterus. Conclusion: The diagnosis of adeno - myopathy with ultrasound should perform dynamic follow up through close combining with the history of the disease, clinic symptoms of patients, and other examinations in pelves,-si-multaneously, should also lay emphasis on the differential diagnosis between uterine adenomyopathy and uterine myoma.