摘要
目的探讨经阴道彩色多普勒超声检查在子宫腺肌病诊断的临床应用价值.方法对52例临床手术及病理检查证实的子宫腺肌病的临床表现以及经阴道超声检查结果进行回顾性分析.结果子宫腺肌病病灶回声可表现为囊状无回声型、片状低回声型、团块状混合回声型和弥漫分布型,彩色多普勒血流显像(CDF)I显示囊状无回声型和片状低回声型病灶内部及周边多无血流信号,团块状混合回声型和弥漫分布型病灶内部及周边可见血流信号,频谱多普勒(PW)录及高阻力动脉血流频谱.病灶内部及边界回声、CDFI血流走行有助于与子宫肌瘤的鉴别诊断.结论经阴道彩色多普勒超声检查结合临床表现对子宫腺肌病的诊断具有临床实用价值.
Objective To explore the clinical value for diagnosis of adenomyosis by transvaginal color doppler imaging. Method The transvaginal 2D image and color doppler index of 52 adenomyosis cases were analyzed combining their clinic symptoms. Result Adenomyosis was typed as small cyst, low echo piece, mix mass and diffuse lesion. CDFI showed no flow in small cyst and low echo piece, and the contrary in mix mass and diffuse lesion. PW showed high resistant character. The boundary, echo of lesion and CDFI were the differentiations of adenomyosis and hysteromyoma. Conclusions It has an important value for diagnosis of adenomyosis to combine transvaginal 2D, color doppler imaging and clinical symptoms.
出处
《昆明医学院学报》
2009年第3期120-122,共3页
Journal of Kunming Medical College
