子宫体肌层囊性病变的超声诊断与病理对照分析  

COMPARATIVE STUDY BETWEEN ULTRASONOGRAPHY DIAGNOSIS AND PATHOLOGY DIAGNOSIS ON CYSTIC LESIONS OF MUSCULAR LAYER IN CORPUS UTERI

作　　者：张英霞[1] 武仁[1] 雷彩虹[1] 哈斯[1] 

机构地区：[1]内蒙古医学院附属医院超声科,内蒙古呼和浩特010050

出　　处：《内蒙古医学院学报》2009年第3期188-190,184,共4页Acta Academiae Medicinae Neimongol

基　　金：内蒙古自治区自然科学基金(200408020916)

摘　　要：目的:探讨子宫体肌层囊性病变的超声声像图特征及病理类型。方法:回顾性分析行子宫全切术的子宫体肌层囊性病变的病例25例的超声声像图特征及病理诊断。术前均经腹部或阴道彩色多普勒超声诊断,术后送病理检查。结果:25例超声图像上表现为子宫体肌层内液性暗区,或在子宫体肌层内中低回声或回声紊乱区内的液性暗区,或者表现子宫体肌壁间弥漫性囊性病变。病理类型包括子宫肌瘤囊性变、内膜囊肿、中肾管囊肿、血管瘤、平滑肌肉瘤、植入性胎盘、子宫壁输卵管内膜异位伴囊肿。结论:子宫体肌层的囊性病变较少见,病理类型较多,易误诊,应结合病史尽量作出正确的超声诊断。Objective： To investigate characteristics and pathologic types of cystic lesions in muscular layer of corpus uteri. Methods： Retrospective study was carried out in 25 cases with cystic lesions in muscular layer of corpus uteri. They were scanned by ultrasound before operation and confirmed by pathology after operation. Results：The that liquid area. or liquid area ultrasonographic expressions of 25 cases showed middle -low level echo or echo mess area, or widespread cystic lesions in muscular layer of corpus uteri. There were many kinds of pathology diagnosis including cystic degeneration of hystero myoma, endometrial cyst, mesonephric duct cyst, hemangioma, leiomyo sarcoma, placenta increta and endometriosis of interstitial portion of oviduct. Conclusion：Cystic lesions in muscular layer of corpus uteri were rare and pathologic types were more,which were easily made misdiagnosis. Combining with history may achieve accurate ultrasonographic diagnosis.

关 键 词：子宫体肌层囊性病变 超声声像图 病理诊断 

分 类 号：R730.231[医药卫生—肿瘤]