子宫肌瘤常见中医证候超声声像图特征及其相关性研究

摘要

目的：探讨子宫肌瘤常见中医证型超声声像图特征及其相关性。方法：根据诊断和辨证标准纳入122例子宫肌瘤患者，然后进行超声检查，采用统计学软件对子宫肌瘤四种常见中医证候的超声声像图特征及其相关性进行分析。结果：不同证候间子宫肌瘤位置分布以及最大径、平均直径差异有统计学意义（P ＜0.05），最大径和差异无统计学意义（P ＞0.05）。气虚血瘀型子宫肌瘤最大径及平均直径为5～10 cm 者比例均大于气滞血瘀型子宫肌瘤，其余各证型之间最大径及平均直径两两比较差异均无统计学意义（P ＞0.05）。不同中医证候间不同超声回声比例差异有统计学意义（P ＜0.05），其中痰湿瘀结证回声不匀者占76.47％，气虚血瘀证低回声占70.59％，远高于两证其他回声所占比例。痰湿瘀结证与气滞血瘀证、气虚血瘀证，气虚血瘀证与气滞血瘀证不同超声回声比例差异均有统计学意义（P ＜0.05）。各中医证候之间肌瘤单发或多发情况差异以及形态特征无统计学意义（P ＞0.05）。结论：子宫肌瘤常见中医证候在肌瘤位置、大小和回声方面具有一定特征，值得进一步研究。%Objective:To explore the ultrasonic image feature of uterus myoma and its correlation to TCM Syndromes.Methods:According to the standard of diagnosis and syndrome differentiation,there are 122 cases of patients recruited.All patients were con-ducted with ultrasonography.Then to analyze the four common TCM syndromes and their correlation with the images by statistical software.Results:1)There are statistical significant difference among myoma of different syndromes in location distribution,maxi-mum diameter,and average diameter (P <0.05),but no statistical significance of the sum of the maximum diameter (P >0.05). The proportion of maximum diameter,average diameter with 5 ~10 cm in Qi deficiency and blood stasis syndrome is higher than that of the Qi stagnation and blood stasis syndrome (P <0.05),while there are no statistical significance of maximum diameter,av-erage diameter between other syndromes (P >0.05).2)The proportion of ultrasonic echo among different groups have statistical significance (P <0.05).In patients with phlegm dampness and blood stasis syndrome,the proportion of uneven intensity of echo is 76.47% and the proportion of low echo is 70.59%,which are significantly higher than those in other groups.3)There are statisti-cal differences between qi stagnation and blood stasis syndrome with qi deficiency and blood stasis syndrome in the proportion of different echo,also between phlegm dampness and blood stasis syndromes (P <0.05).4)There are no statistical significance of single or multiple myoma as well as morphological characteristics among various syndromes (P >0.05).Conclusion:There are certain characteristics of uterus myoma in location distribution,size and echo,and it is worthy of further study.