浅析子宫内膜异位症的B超影像与中医证型关系

A brief analysis of the relationship between B-ultrasound imaging and TCM syndromes in endometriosis

目的:探究子宫内膜异位症的B超影像与中医证型之间的内在联系。方法:将我院自2016年9月-2018年4月间收治的93例子宫内膜异位症患者按照其中医辨证类型分为气虚血瘀型(30例)、气滞血瘀型(31例)及寒凝血瘀型(32例)三种类型,并对三种不同类型的患者实施B超检查,分析其B超特点。结果:气虚血瘀型患者病变以子宫为主,为21例,占总数的70.0%,发病部位为卵巢者7例,占23.3%,发病部位为直肠子宫凹陷者2例,占6.7%;气滞血瘀型患者发病部位以直肠子宫凹陷为主(19例),占61.3%,发病部位为卵巢者9例,占29.0%,发病部位为子宫者3例,占9.7%;寒凝血瘀型患者发病部位以卵巢为主(23例),占71.9%,发病部位为卵巢者6例,占18.8%,发病部位为子宫者3例,占9.3%.气虚血瘀型B超局部声像图以子宫增大为主(22例),占73.3%;气滞血瘀型B超局部声像图以盆腔非规则积液为主(20例),占64.5%;寒凝血瘀型B超局部声像图以囊肿征为主(24例),占75.0%。结论:子宫内膜异位症的B超影像与中医证型之间存在对应的内在联系,这为中医证型的确定提供了相对客观的临床证据。

Objective: To explore the intrinsic relationship between B-ultrasound imaging and TCM syndromes in endometriosis. Methods: 93 cases were divided into the Qixu Xueyu type ((32 cases) according to the type of TCM syndrome differentiation. The B-ultrasound characteristics of patients with different syndromes was analyzed. Results: In the Qixu Xueyu type, the mainly lesions of 21 cases were uterine, accounting for 70.0%;7 cases were ovaries, for 23.3%;2 cases were rectal uterine sag, for 6.7%. In the Qizhi Xueyu type, the mainly lesions of 19 cases were rectal uterine sag, accounting for 61.3%;9 cases were ovaries, for 29.0%;3 cases were uterine, for 9.7%. In the Hanning Xueyu type, the mainly lesions of 23 cases were uterine, accounting for 71.9%;6 cases were ovaries, for 18.8%;3 cases were rectal uterine sag, for 9.3%. The B-ultrasound imaging of patients with the Qixu Xueyu type were uterine enlargement mainly, for 73.3%;the B-ultrasound imaging of patients with the Qizhi Xueyu type were pelvic non-regular effusion mainly, for 64.5%;the B-ultrasound imaging of patients with Hanning Xueyu type were cyst sign mainly, for 75.0%. Conclusion: There is a corresponding intrinsic relationship between B-ultrasound images of endometriosis and TCM syndromes, which provides relatively objective clinical evidence for the determination of TCM syndromes.