子宫不同占位性病变超声诊断价值及误诊分析  

Diagnosis Value of Ultrasound for Different Uterine Space-occupying Lesions and its Misdiagnosis Analysis

作　　者：张家志[1] 周云[2] 王莉 巩海燕[4] 孙小林[5] 

机构地区：[1]南京市江宁区秣陵街道社区卫生服务中心,江苏南京211111 [2]南京医科大学附属南京第一医院超声科,江苏南京210006 [3]南京市江宁区妇幼保健所超声室,江苏南京211100 [4]南京医科大学第一附属医院超声诊断科,江苏南京210029 [5]江苏省人民医院超声诊断科,江苏南京210000

出　　处：《现代生物医学进展》2013年第17期3273-3276,共4页Progress in Modern Biomedicine

摘　　要：目的:分析子宫不同占位性病变的声像学特点和和误诊原因,探讨超声诊断价值。方法:回顾性分析我院185例不同占位性病变经腹部超声图像资料,观察病变形态、大小、病变位置、包膜、边缘及后方回音等。结果:185例患者中,经体表超声检测出139例不同占位性病变患者,符合率为75.14%;误诊46例,误诊率为24.86%,误诊原因与病变形态、内部回音、宫腔线所表现出的相似性有关。结论:腹部超声能够较准确地诊断出子宫不同占位性病变,结合患者病史和临床症状,可以实现其更好的利用价值。Objective： To analyze the ultrasonographic features of and reasons for misdiagnosis of different uterine space-occupying lesions,and to investigate the ultrasonic diagnosis value.Methods： Retrospective analysis were carried on abdominal ultrasound image data of 185 cases of different space-occupying lesions,and the lesions form,size,location,envelope,edge and rear echo and so on were carefully observed.Results： Among the 185 cases,139 cases were detected out with different uterine space-occupying lesions by abdominal ultrasound,with coincidence rate of 75.14%.46 cases were misdiagnosed,with the misdiagnosis rate of 24.86%.Reasons for misdiagnosis were related with the shape of lesions,internal echo,and similarity of uterine line.Conclusion： Abdominal ultrasound could accurately diagnose different uterine space-occupying lesions.Its combination with patient history and clinical symptoms can achieve better application value.

关 键 词：腹部超声检查 子宫占位性病变 误诊分析 

分 类 号：R737.3[医药卫生—肿瘤]