子宫腺肌病的超声诊断及声像图分析

目的 探讨子宫腺肌病的声像图特征,提高超声诊断的准确性.方法 对42例被临床及病理证实为子宫腺肌病的声像图表现进行回顾性分析并分类.结果 42例患者术前超声诊断与术后病理结果对照,超声诊断子宫腺肌病的符合率为92.9%(39/42),误诊1例,漏诊2例.本组子宫腺肌病的声像图特征可归纳为弥漫型、前壁型、后壁型、局限型和混合型5型.结论 超声诊断子宫腺肌病有较高的准确性且具有无创、安全、可重复检查等优点,对子宫腺肌病的诊断和鉴别诊断具有重要的临床应用价值.

The ultrasound diagnosis and sonograms analysis of adenomyosis

Objective To explore the ultrasonic diagnosis of adenomyosis and discover the characteristics of its sonograms,so as to improve the diagnostic accuracy rate.Methods The sonograms of 42 cases with pathology or clinic confirmed adenomyosis were retrospectively analyzed and categorized.Results Thirty-nine cases were ultrasonic diagnosed with adenomyosis,the accuracy rate of ultrasonic diagnosis was 92.9%(39/42),one case was misdiagnosis,two cases were missed diagnosis.The sonogram echograms of adenomyosis could be categorized into 5 types.Conclusion Ultrasound as a noninvasive,safe and repeatable examination with high accuracy rate,holds important application value for the diagnosis of adenomyosis.