摘要
目的应用彩色多普勒超声观察子宫肌瘤声像图特点,与子宫肌腺症等疾病鉴别诊断,以提高子宫肌瘤的诊断准确率。方法适度充盈膀胱,患者取平卧位,通过腹部多切面扫查盆腔,观察子宫、附件及盆腔情况,了解子宫肌瘤病灶的部位、大小、内部回声特征及彩色多普勒图像,以动态地观察病变区的图像变化,为诊断提供更多依据。部分患者可在月经后再次进行复查确诊。结果子宫肌瘤因肌瘤所在部位、大小以及病理类型不同,主要可分为:高回声型、低回声型、混合回声型及中等回声型,好发部位主要为子宫颈、黏膜下、肌壁间及浆膜下。结论通过超声二维图像并配合彩色多普勒,观察病灶的位置、大小、形态、内部回声及周边血流情况,子宫肌瘤的超声诊断符合率很高,具有较高的临床使用价值。
OBJECTIVE To observe the ultrasonic diagnosis of hysteromyoma uhrasonographic characteristics, improve the diagnosis accuracy of uterine fibroids. METHODS Appropriate bladder filling, patients need to lay down, through abdominal pelvic plane scan more observe uterus, accessories and pelvic cavity, understanding of uterine fibroids lesion location, size, internal echo characteristics, color doppler image, to dynamically observe the lesion area image change, provide more basis for diagnosis. Some patients may review again after menstruation is confirmed. RESULTS Uterine fibroids with fibroids in different site, size and pathological type, the main can be divided into： high echo type echoes, low echo type, mixed type and medium type echo, good hair parts mainly for cervix, submucous muscle intramural, and subserosal. CONCLUSION By two-dimensional ultrasound images and combined with color doppler, observe the location of the lesions, size, shape, internal echo and the surrounding blood flow, uterine fibroids of the ultrasound diagnosis coincidence rate is very high, it has high clinical value.
出处
《中国初级卫生保健》
2014年第12期42-43,共2页
Chinese Primary Health Care
关键词
子宫肌瘤
彩色多普勒
鉴别诊断
uterine fibroids
color doppler
differential diagnosis
