子宫内膜异位症在手术后腹壁瘢痕处的彩超表现  

The diagnostic value of color doppler ultrasonography for the endometriosis in the scar abdominal wall after caesarean section

作　　者：彭新玉[1] 

机构地区：[1]山东省日照市中医医院,276800

出　　处：《中国医学创新》2010年第13期164-165,共2页Medical Innovation of China

摘　　要：目的探讨高频超声与彩色多普勒血流显像对腹壁切口瘢痕处子宫内膜异位症的超声表现。方法对66例经手术病理证实的腹壁瘢痕子宫内膜异位症的声像图特征进行分析。结果腹壁瘢痕处探及边界不清、形态不规则、无包膜、内部回声不均质的中低回声团块,团块内呈斑片状液性暗区间杂弱回声光点及条带状低回声;彩色多普勒血流显像(CDFI)显示肿块周边及内部有点状、短棒状和条状血流信号。脉冲多普勒(PW)表现为低速高阻的特点,Vs 5.0～20 cm/s、RI 0.65～0.82。结论高频超声结合CDFI和PW能对剖宫产术后腹壁瘢痕子宫内膜异位症进行明确诊断,为临床提供可靠的诊断价值。Objective To assess the value of high - frequency ultrasonic and CDFI for the diagnosis of the endometriosis in the sear abdominal wall after caesarean section. Methods 66 patients who had been authenticated that had the endometriosis in the sear abdominal wall on the pathological examination were investigated via uhrasonography. Results An intermediate frequency echo or low frequency echo conglomeration had been found in the scar abdominal wall, and the border was blurry, ,the shape was erose, the envelope was not found, and flecky liquid dark areas with low frequency echo photic points and zonary low frequency echo can be found in the conglomeration. CDFI ： punctate and short club - shaped or zonary blood stream signal can be found in the conglomeration. PW showed low speed and high resistance characteristic, Vs 5.0 - 20 cm/s,R1：0.65 -0. 82. Conclusion Exact diagnosis can be given to the endometriosis in the sear abdominal wall using high frequency ultrasonography combined with CDFI and PW, and good advise are provided for the clinical diagnosis.

关 键 词：彩超检查 手术后腹壁瘢痕 子宫内膜异位症 

分 类 号：R713[医药卫生—妇产科学]