彩超监测妊娠合并子宫肌瘤的临床价值  

Clinical Value of Color Doppler Ultrasonography in Monitoring Pregnancy Associated with Hysteromyoma

作　　者：胡蓉[1] 龙丽娟[2] 郭蕾[2] 汪娜[2] 吴迪[2] 

机构地区：[1]空军总医院肿瘤内科彩超室,北京100142 [2]空军总医院超声诊断科,北京100142

出　　处：《医学临床研究》2011年第1期56-58,共3页Journal of Clinical Research

摘　　要：【目的】通过彩超监测妊娠期子宫肌瘤的变化，探讨彩超在指导妊娠合并子宫肌瘤的治疗和决定其分娩方式中的临床价值。【方法】对经超声及临床证实的96例妊娠合并子宫肌瘤孕妇进行追踪彩色观察直至分娩。【结果】超声诊断妊娠合并子宫肌瘤96例，均经临床证实并妊娠至足月。肌瘤大小在0．9～7．5cm间，其中浆膜下肌瘤26例（26／96，27．1％），肌壁间肌瘤60例（60／96，62．5％），黏膜下肌瘤10例（10／96，10．4％）。【结论】超声在妊娠各期及产时对子宫肌瘤的动态监测是指导临床妥善处理妊娠合并子宫肌瘤的关键。[Objective]To explore the clinical value of color Doppler ultrasonography in guiding the treatment of pregnancy associated with hysteromyoma and deciding the delivery mode through monitoring the changes of hysteromyoma during pregnancy by color Doppler ultrasonography. [Methods] Ninety six cases of pregnancy associated hysteromyoma which were diagnosed clinically and by ultrasonography were followed up until end of delivery. [Results] Ninety six cases of pregnancy associated with hysteromyoma were diagnosed by ultrasonography, all of which were confirmed clinically. These cases were followed up by ultrasonography until full term. The sizes of uterine leiomyoma were 0.9-7.5cm. Of these case, 26 cases（26/96, 27. 1%） were subserosal leiomyoma, 60 cases（60/96, 62. 5%） were intramural leiomyoma and 10 cases（10/96, 10. 4%） were submueous leiomyoma. [Conclusion] The dynamic monitoring of hysteromyoma by ultrasonography in each pregnancy trimester and during delivery is critical in guiding appropriate therapy of pregnancy associated with hvsteromvoma.

关 键 词：平滑肌瘤/超声检查 妊娠并发症 肿瘤 子宫肿瘤/超声检查 

分 类 号：R737.33[医药卫生—肿瘤]