彩色多普勒超声在子宫肌瘤与子宫腺肌病鉴别诊断中的价值

目的 :探讨彩色多普勒血流显像 (CDFI)在子宫肌瘤与子宫腺肌病的鉴别诊断和两病并存时诊断中的价值。方法 :对手术病理证实为子宫肌瘤及子宫腺肌病的患者 77例。术前检测了子宫动脉阻力指数 (RI)、搏动指数 (PI)及病灶血流信号丰富度。结果 :肌瘤组的 RI显著降低而 PI显著升高 ,腺肌病组的 RI显著升高而 PI显著降低 ,肌瘤并腺肌病组的 RI和 PI无显著变化。 81.1%的肌瘤病灶血流丰富而 76 %的腺肌病灶血流稀少。结论 :RI、PI和病灶血流信号丰富度可作两病鉴别诊断的指标。RI和 PI的无显著改变及同一病变子宫不同部位血流信号丰富度的明显差异指示两病同时存在

The value of CDFI in differential diagnosis between uterine myoma and adenomyosis

Objective To probe the value of CDFI in differential diagnosis between uterine myoma and adenomyosis and the value of CDFI in diagnosis of uterine myoma coexisting with adenomyosis.Method The utero-arterial blood flow resistant index(RI)、pulse index(PI)、peak systolic flow(PS)、ed-diastolic flow(ED) and the degree of the blood flow signals in foci were measured with CDFI after 2D-ultrasonography.77cases which were verified by operations and pathological exams were analysed.Results Compared with control group,the RI and PI of uterine myoma group were decreased and increased respectively significantly,the RI and PI of adenomyosis group were increased anddecreased respectively significantly,the RI and PI of the both coexistence group changed nonsignificantly.81.1% of foci of uterine myomas showed plent of blood flow singals,76% of foci of adenomyosis showed rare blood flow singals.Conclusion RI、PI and the degrees of blood flow singals in foci can be used as indexes of differential diagnosis between these two diseases.Nonsignificant changes of RI and PI,and the significant difference of blood flow signals of different foci in the same uterus indicate the coexistence of these two diseases.