彩超在子宫肌瘤与子宫腺肌症的诊断与鉴别诊断中的临床应用

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1、彩超在子宫肌瘤与子宫腺肌症的诊断与鉴别诊断中的临床应用［摘要］目的探讨彩超在子宫肌瘤与子宫腺肌症的诊断与鉴别诊断中的临床应用价值。方法选择2013年11月〜2015年11月期间我院行彩超检查的子宫肌瘤患者30例作为A组，另选取同期行彩超检查的子宫腺肌症患者26例为B组，比较两组的超声声像图表现及采用多普勒测量子宫动脉阻力指数(RI)、搏动指数(PI)和血流量(BFV)O结果30子宫肌瘤患者超声声像图表现为子宫增大，其中均匀增大11例。低回声25例，等回声4例，高回声1例，以低回声为主。包块边界清晰25例。内膜线向后

2、偏移4例，向前偏移5例，非同向偏移1例。CDFI示：包块内显示星状或条状血流信号12例。26例子宫腺肌症患者超声声像图主要表现:患者的子宫轻度弥漫性增大，24例子宫边界不清晰，光点粗大，低回声21例，高回声5例，以高回声为主。CDFI示：病灶区内血流少，见稀疏的短条状血流。局限性病灶周I韦I未见环状或半环状血流信号环绕。A组的RI显著低于B组，但PI及BFV显著高于B组，差异有统计学意义(P<0.05)o结论彩色多普勒超声对子宫肌瘤与子宫腺肌症具有重要的诊断与鉴别诊断价值，可以为子宫腺肌病与子宫肌瘤的诊断提供可靠的

3、参考依据。［关键词］子宫肌瘤；子宫腺肌症；彩色多普勒超声；诊断；鉴别诊［中图分类号］R737.33［文献标识码］B［文章编号］2095-0616(2016)09-165-03[Abstract]ObjectiveToexploretheclinicalvalueofcolorDopplerultrasonographyinthediagnosisanddifferentialdiagnosisofuterinemyomaanduterineglandmuscle.MethodsFromNovember2013toN

4、ovember2015inourhospital,30casesofuterinefibroidswereselectedasAgroup.Inaddition，26casesofuterineglandswereselectedastheBgroup.Ultrasoundimagingperformanee,theuterinearteryresistanceindex(RI),pulseindex(PI)andbloodflow(BEV)oftwogroupswerecompared.ResultsUltras

5、oundimageof30patientswithuterinefibroidsshowedthattheuteruswasincreased,andtheaverageincreasewas11cases.Lowechowas25cases,echowas4cases,highechowas1case,andlowechowasmainlycharacterized・Therewere25caseswithclearboundaryofthepackageblock.Therewere4casesofendome

6、triallinebackwardmigration,and5casesofforwardmigration.Therewas1caseofnonidenticaloffset.ThroughtheCDFI,therewere12casesofthepackageblockwithastarorstripbloodflowsignal.26casesofuterineglandmusclediseasepatientswithultrasoundmainlyshowedthat：thepatientsuterusw

7、asmilddiffuseincrease,24casesofuterineboundarywerenotclear,andlightwasspotbulky.Therewere21casesoflowecho,andtherewere5casesofhighecho,withhighechobased.CDFIshowedthatthebloodflowwithinthelesionareaandstripbloodthinning・Therewasnoringorsemiannularbloodf1owsign

8、alaroundthefocallesion.TheRIofAgroupwassignificantlylowerthanthatofBgroup,butPIandBFVofAgroupweresignificantlyhigherthanthatofgroupB(P<0.05)・ConclusionThecolorDopplerultrasonograph