与子宫肌瘤相关的超声误诊分析  

Analysis on several cases of misdiagnosis associated with uterine myoma

作　　者：侯艺蓉[1] 徐文捷[1] 幸文琼[1] 何月萍[1] 

机构地区：[1]同济大学附属东方医院妇产科,上海200120

出　　处：《中国现代医生》2014年第19期91-93,共3页China Modern Doctor

摘　　要：目的 探讨经超声检查误诊为子宫肌瘤的部分病例.方法 对本院2010年6月～2013年8月作出的8例与子宫肌瘤相关的误诊病例进行回顾性分析.结果 在误诊为子宫肌瘤的8例患者中,子宫肉瘤2例,子宫内膜癌1例,卵巢卵泡膜细胞瘤1例,肠道肿瘤2例,残角子宫1例,后腹膜平滑肌瘤1例.结论 子宫肌瘤因其部位的多样性及变性等变化以及超声影像有同病异像、异病同像的特点,在子宫肌瘤超声诊断中需注意与少见疾病相鉴别,多元化思维,从而进一步提高诊断正确率.Objective To investigate some cases misdiagnozed as uterine myomas by uhrasonography. Methods Eight misdiagnozed cases associated with uterine myomas from June 2010 to August 2013 of the hospital were analyzed retrospectively. Results Two uterus sarcoma cases, one endometrial carcinoma case, one ovarian theca cell tumor case, two intestine tumor cases, one rudimentary horn of uterus case and one retroperitoneal myoma case were misdiagnozed as uterine myomas. Conclusion Because of such characteristics of ultrasound as ＂the same disease with different i- mazes＂ and ＂different diseases with the same image ＂, and position diversity as well as the degeneration of uterine myomas, more attention should be paid to distinguish uterine myoma from rare diseases in order to improve the accuracy of diagnosis.

关 键 词：子宫肌瘤 误诊 超声 鉴别 

分 类 号：R737.33[医药卫生—肿瘤]