92例经阴式超声诊断子宫腺肌病的临床诊断价值

摘要

目的：探讨经阴式超声在诊断子宫腺肌病中的临床应用价值。方法：回顾性分析我院2010~2013年手术治疗并同时经病理确诊的92例子宫腺肌病病例。结果：弥漫性子宫腺肌病为50例，局限性子宫腺肌病为22例，合并卵巢内膜异位症20例。结论：阴式超声更能清晰地显示子宫腺肌病的二维声像图特征，彩色多普勒超声（CDFI）显示子宫腺肌病的病灶在其周围没有较为明显的血流信号存在，在其中心处可以见到少量的星点状短棒状的血流信号，并探测到低速高阻性血流频谱，其值RI＞0.7，对于子宫腺肌病的诊断及鉴别诊断具有很高的价值，同时能提高临床诊断率。%Objective:To evaluate clinical value of vaginal ultrasonography in the diagnosis of adenomyosis. Methods:A retrospective analysis 92 cases of adenomyosis by surgical treatment and pathologically confirmed in our hospital from 2010 to 2013. Results:Diffuse adenomyosis are 50 cases, the limitations adenomyosis are 22 cases ,ovarian endometriosis are 20 cases. Conclusion:Vaginal ultrasound more clearly show adenomyosis dimensional sonographic features. CDFI show adenomyosis is no significant blood flow around the lesion.The center can see little star point short rod-shaped flow signal.Spectrum and Doppler flow spectrum to detect low impedance RI> 0.7.So,they have high value for adenomyosis diagnosis and differential diagnosis, improving clinical diagnosis rate.