子宫肌瘤的超声影像与病理对照(附86例分析)

摘要

Objective: To explore the correlation between ultrasonography and pathology for hysteromyoma and to discuss themisdiagnosis cause. Methods:A retrcspective analysis was made in data for B- ultrasound,operation, pathology of hysteromyoma in 86 cases. Results Diagnosis with B- ultrasound was completely coincided with patholcgy in 69 cases, approximately in 11cases (total correct rate 93% ) ,misdiagnosed in 6 cases(7 % ). Among then,an endometrioid polyp' s patient,an endometriosis intima's,a local endometriosis intima's and a subserosa endometriosis was respectively misdiagnosed for hystermyoma, two hysteromyoma in cervices uteri were misdiagncsed ovarionous. Conclusion:The correspondent rate of diagnosis with B- ultrasound inhysteromyoma is more than 90 %, the cause of misdiagnosis multiple reasons.%目的：探讨子宫肌瘤超声影像与病理的相关性及其误诊原因。方法：对86例子宫肌瘤的超声、手术、病理资料进行回顾性总结分析。结果：超声与病理完全符合69例、基本符合11例，总符合率93％。误诊6例，占7％，其中将子宫内膜息肉、子宫肌腺病、局限型子宫腺肌瘤、浆膜下子宫内膜异位误诊为子宫肌瘤各1例，将宫颈部肌瘤误诊为卵巢肿瘤2例。结论：超声对子宫肌瘤的诊断符合率达90％以上，误诊原因是多方面的。