彩色多普勒超声在诊断子宫圆韧带病变中的应用

Application of Color Doppler Ultrasound in diagnosis of the disease of round ligament of uterus

目的探讨彩色多普勒超声在子宫圆韧带病变诊断和鉴别诊断中的应用价值。方法回顾性分析2013年1月至2018年12月,首都医科大学附属北京朝阳医院西院105例(113条)超声诊断为圆韧带病变患者的临床资料及超声图像表现,与术后诊断结果对比。结果临床术后证实圆韧带囊肿共66例(69条),均合并腹股沟疝,其中68条为斜疝,彩色多普勒超声正确诊断圆韧带囊肿61例(64条)。超声表现圆韧带积液合并圆韧带增粗者2例(2条),经手术及病理证实为子宫内膜异位症合并斜疝。超声诊断为圆韧带静脉曲张合并斜疝1例(1条),斜疝术后复查静脉曲张消失。超声诊断的圆韧带囊肿合并疝1例(1条),手术证实为斜疝合并圆韧带囊性病变(性质不明)。超声正确描述圆韧带区交通性积液21例(24条),术后均证实为斜疝。结论彩色多普勒超声在诊断圆韧带病变中具有较高的应用价值,特别是对圆韧带囊肿的诊断率较高。圆韧带病变中圆韧带囊肿发生率相对较高。圆韧带病变和腹股沟斜疝的发生关系密切。

Objective To explore the value of Color Doppler Ultrasound inthe diagnosis and differential diagnosis of round ligament of uterus.Methods The clinical data and ultrasonographic findings of 105 patients(113 cases)with round ligament lesions diagnosed by Color Doppler Ultrasound in Beijing Chao-Yang Hospital West District from January 2013 to December 2018 were retrospectively analyzed,and compared with surgical and pathological results.Results There were 66 patients(69 cases)of round ligament cyst,all of which were complicated with inguinal hernia,Among them,61 patients(64 cases)were diagnosed correctly by ultrasound.2 patients(2 cases)with round ligament effusion and round ligament thickening were confirmed as endometriosis with indirect hernia by operation and pathology.1 patient(1 case)was diagnosed as a varicose veins with indirect hernia by ultrasound,and the varicose veins disappeared after indirect hernia operation.1 patient(1 case)round ligament cyst complicated with hernia was confirmed by operation as indirect hernia with unknown cystic lesion of round ligament.Ultrasound correctly described 21 patients(24 cases)of communicating effusion in round ligament area,all of them proved to be indirect hernia after operation.Conclusion Color Doppler Ultrasound is of great value in the diagnosis of round ligament diseases,especially in the diagnosis of round ligament cysts.The incidence of round ligament cyst is relatively high in round ligament diseases.Round ligament disease are closely related to inguinal hernia.