宫腔造影在子宫腺肌病中的临床应用

目的:探讨宫腔声学造影检测子宫腺肌病病变范围及与在位内膜间的关系。方法:对45例子宫腺肌病患者常规超声检查后行双氧水宫腔造影,结合手术中探查及病理检查,比较宫腔造影病变性质与手术中子宫腺肌病病灶范围。结果:①子宫腺肌病弥漫型造影阳性率较局限型高(P<0.01);②在位内膜与异位组织相连者造影阳性率较不连者高(P<0.01);③痛经腺肌病患者造影阳性率较无痛经患者高(P<0.01)。结论:可以用宫腔造影的方法了解子宫腺肌病病变范围及与子宫在位内膜的关系,为研究子宫腺肌病的发病机制及制定手术方案提供理论依据。

The clinical significance of sonohysterography to adenomyosis

Objective:Using sonohysterography(SHG) to detect the lesion extent of adenomyosis and its relationship with eutopic endometrium.Methods: Forty-five cases of adenomyotic patients underwent routine transvaginal sonography(TVS) and transvaginal sonohysterography(SHG) and combined with surgical exploration and pathologic examination to compare with the results of SHG and that of surgical exploration.Results:① The positive rate of imaging in diffuse adenomyosis was higher than that of localized adenomyosis(P<0.01).② The positive rate of imaging in the ectopic tissue which connected to eutopic endometrium was higher than in the controls(P<0.01).③ The positive rate of imaging in patients with dysmenorrhea was higher than those without dysmenorrhea(P<0.01).Conclusion:The lesion extent of adenomyosis and its relationship with eutopic endometrium can be evaluated by sonohysterography which may helpful for studying the pathogenesis of adenomyosis and the development of surgery program.