彩色多普勒超声对腹直肌鞘内子宫内膜异位症的诊断价值  

Diagnosed Value of Color Doppler Ultrasound in Rectus Abdominis Endometriosis

作　　者：卢金生[1] 任美杰[1] 宋承田[1] 张倩[1] 陈宝春[1] 

机构地区：[1]首都医科大学宣武医院超声诊断科,北京市100053

出　　处：《中国超声医学杂志》2009年第1期79-81,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的研究探讨剖宫产术后腹直肌鞘内子宫内膜异位症的彩色多普勒超声表现。方法应用彩色多普勒超声对12例经手术和病理证实的腹直肌鞘内子宫内膜异位症的超声结果进行分析。结果12例肿物均位于腹直肌鞘内，最大直径7．0～4．0cm，无包膜，形态不规则，边缘不光滑，内部为低回声，部分呈无回声表现。彩色多普勒显示包块内部可见点状或条状血流信号，为低速高阻的动脉性血流频谱。结论结合病史及临床表现，彩色多普勒超声是诊断腹直肌鞘内子宫内膜异位症的一种有价值的方法。Objective To evaluate the sonographic and color Doppler features of rectus abdominis endometriosis after uterine-incision delivery. Methods Ultrasonographic appearances of 12 patients＇ rectus abdominis endometriosis as confirmed by pathology were analyzed. Results Sonography disclosed 12 nodules located in rectus abdominis and the nodules had no envelope, its, size was 7.0-4.0 cm. The sonographic features were irregular in shape and margins, often speculated and had a hypoechoic inhomogeneous echo texture. Part of anecho can be seen on sonography. The color Dopple examination also showed the color signal pattern of all patients was dotlike and/or linear with the low-velocity and high-resistance arterial flow. Conclusions Color Doppler ultrasound, when properly combined with clinical data may be a valuable method in diagnosis of rectus abdominis endometriosis.

关 键 词：彩色多普勒超声 子宫内膜异位症 腹直肌 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.71[医药卫生—诊断学]