子宫腺肌病与子宫肌瘤超声鉴别诊断探讨

目的探讨2D超声、CDFI对子宫腺肌病和子宫肌瘤的鉴别诊断价值。方法将34例子宫腺肌病及40例子宫肌瘤患者的超声表现与手术病理结果作对照分析。结果子宫腺肌病超声诊断符合率为82．4％(28／34)，误诊率17．6％(6／34)，其中弥散性分布的子宫腺肌病全部确诊，而局限性及合并有子宫肌瘤者容易误诊为子宫肌瘤。结论少数病例子宫腺肌病和子宫肌瘤超声表现相似。确定团块边界是否清晰及团块周边有无包绕的血流信号对于鉴别病灶腺肌病和子宫肌瘤有重要价值。

Ultrasound differentiation of adenomyosis and hysteromyoma

Objective To evaluate the value of 2D ultrasound and CDFI in the differentiation of adenomyosis and hysteromyoma. Methods The imaging characteristics of 34 patients with adenomyosis and 40 patients with hysteromyoma were compared with pathologic results. Results Twenty-eight adenomyosis case were diagnosed. Ultrasonographic coincidence rate was 82.4 %(28/34) while the misdiagnosis rate was 17.6 %(6/34). All the diffuse adenomyosis were diagnosed, but the localized ones and the adenomyosis combined with hysteromyoma. were mistaken as hysteromyoma. Conclusion Some similarities were found in the images of adenomyosis and hysteromyoma in a few case. To determine whether the margin of mass is clear or not and whether there is blood flowing round the mass or not has important value in differentiating the adenomyosis and hysteromyoma.