高频彩超对腹壁/会阴瘢痕子宫内膜异位症的诊断价值  

HIGH-FREQUENCY ULTRASOUND IN DIAGNOSING ABDOMINAL AND PERINEAL SCAR ENDOMETRIOSIS

作　　者：陈冬薇[1] 杨敏仪[1] 

机构地区：[1]广州医学院荔湾医院,广东广州510170

出　　处：《现代医院》2011年第3期75-76,共2页Modern Hospitals

摘　　要：目的探讨高频超声与彩色多普勒血流显像(CDFI)对腹壁/会阴部瘢痕子宫内膜异位症的诊断价值。方法对46例经手术、病理检查证实的腹壁/会阴部瘢痕子宫内膜异位症的声像图特征进行回顾性分析。结果 46例患者均有剖宫产史或会阴侧切史。其彩超表现有:在原腹壁/会阴瘢痕处的包块内可见混合性回声团块,边界不清晰,形态不规则。CDFI:可见血流信号,会阴区病灶较腹壁区病灶血流信号丰富,PW:探及低速高阻动脉血流频谱。结论与临床资料相结合,彩色多普勒超声检查是诊断腹壁/会阴瘢痕子宫内膜异位症的一种有价值的方法。Objective To explore the diagnosing value of high-frequency ultrasound and color Doppler flow imaging（CDFI） for the abdominal wall and perineal incision scar endometriosis.Methods 46 patients with surgery and pathology identified abdominal or perineal incision scar endometriosis whose sonographic features were analyzed retrospectively.Results 46 patients all have cesarean section or episiotomy history.The color Doppler performance：In the original side wall or perineal incision mass,mixed hyperechoic mass is visible,the border is not clear,shape is irregular.CDFI：flow signal is visible,in perineal area blood flow signals were more abundant than the lesion in the abdominal wall,PW：low speed and high resistent arterial flow spectrum is explored.Conclusion Combined with clinical data,color Doppler ultrasound in the early diagnosis of abdominal wall and perineal endometriosis is a valuable way.

关 键 词：高频超声 腹壁 会阴 瘢痕 子宫内膜异位症 

分 类 号：R711.71[医药卫生—妇产科学]