子宫肌瘤的超声影像与病理对照（附86例分析）

目的：探讨子宫肌瘤超声影像与病理的相关性及期误诊原因。方法：对86例子宫肌瘤的超声、手术、病理资料进行回顾性总结分析。结果：超声与病理完全符合69例、基本符合11例，总符合率93%。误诊6例，占7%，其中将子宫内膜息肉、子宫肌腺病、局限型子宫腺肌瘤、浆膜下子宫内膜异位误诊为子宫肌瘤各1例。将宫颈部肌瘤误诊为卵巢肿瘤2例。结论：超声对子宫肌瘤的诊断符合率达90%以上，误诊原因是多方面的。

A contrast of ultrasonography and pathology for hysteromyoma (analysis of 86 cases)

Objective:To explore the correlation between ultrasonography and pathology for hysteromyoma and to discuss the misdiagnosis cause.Methods:A retrospective analysis was made in data for B-ultrasound,operation,pathology of hysteromyoma in 86 cases.Results Diagnosis with B-ultrasound was completely coincided with pathology in 69 cases,approximately in 11 cases (total correct rate 93%),misdiagnosed in 6 cases(7%).Among them,an endometrioid polyp's patient,an endometriosis intirna's,a local endometriosis intima's and a subserosa endometriosis was respectively misdiagnosed for hystermyoma,two hysteromyoma in cervices uteri were misdiagnosed ovarionous.Conclusion:The correspondent rate of diagnosis with B-ultrasound in hysteromyoma is more than 90%,the cause of misdiagnosis multiple reasons.