彩色多普勒超声诊断剖宫产术后腹壁子宫内膜异位症的诊断价值

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1、彩色多普勒超声诊断剖宫产术后腹壁子宫内膜异位症的诊断价值【摘要】目的探讨彩色多普勒超声对剖宫产术后腹壁子宫内膜异位症的诊断价值。方法对22例剖宫产术后腹壁肿块经手术和病理诊断为子宫内膜异位症的彩色多普勒超声检查结果进行回顾分析，并与常规超声进行比较。结果高频超声检查结果：肿物位于腹壁各层，深者侵及腹腔大网膜；肿物直径12～55mm不等，形态不规则，边缘不光滑，多呈毛刺状；肿物内部可见不均匀低回声区，内有一至数个小暗区。彩色多普勒显示：肿物内部可见点状和(或)条状低速高阻的动脉血流信号，峰值血流速度(Vmax)5.2～19.

2、7cm/s，阻力指数(RI)0.68～0.84。彩色多普勒超声随访：肿物大小、回声随月经周期呈动态变化。统计结果显示：彩色多普勒超声诊断剖宫产术腹壁子宫内膜异位症同病理诊断符合率(95.5%)，与常规超声符合率(69.2%)比较，差异有统计学意义(P＜0.05)。结论彩色多普勒超声检查与临床资料结合，是诊断和鉴别诊断剖宫产术后腹壁子宫内膜异位症十分有价值的方法。【关键词】彩色多普勒超声腹壁子宫内膜异位症剖宫产术DiagnosticvalueofcolorDopplerultrasonographyforabdominalw

3、allendometriosisaftercaesareansectionYINAnping,CHENXuesheng.People'sHospitalofQidongCity,Jiangsu,Qidong226200【Abstract】ObjectiveToinvestigatethediagnosticvalueofcolorDopplerultrasonicexaminationforabdominalwallendometriosisaftercaesareansection.MethodsThedataofcol

4、orDopplerultrasonicexaminationin22patientswithendometriosisaftercaesareansectionidentifiedbyoperationfindingsandpathologicalexaminationwereretrospectivelyanalyzedandcomparedwiththosebyroutineultrasonicexamination.ResultsHighfrequencysonographicfeatureswerethatall

5、tumorsofthecaseslocatedinthevariouslayertissuesofabdominalwallandafewinfiltratedgreateromentum.Thetumorswere12～55mmindiameter,irregularinshape,themarginswerenotdefinedandhadspiculesign.Theinternalechoeswereinhomogeneousandhypoechoic,andoneormoresmallanechoiclacuna

6、ecouldbeseenintheechoes.ColorDopplerflowimaging(CDFI)showedthecolorsignalpatterninallpatientswaspointand/orlinearwithlowvelocity(Vs5.2～19.7cm/s)andhighresistance(RI0.68～0.84)arterialflow.ThefollowupbycolorDopplerultrasonographyshowedthatthesizeandechoesofthemass

7、dynamicallychangedwithmenstrualcycle.StatisticsresultsshowedthatthecoincidencerateofcolorDopplerultrasonographydiagnosiswithpathologicaldiagnosisforabdominalwallendometriosiswas95.5%,however,whichwas69.2%inroutineultrasonicexamination,therewasasignificantdifferenc

8、ebetweenthetwoexaminationmethods(P<0.05).ConclusionColorDopplerultrasonographycombinedwithclinicaldataisavaluablemethodforthediagnosisanddifferentialdia