超声检查对剖宫产术后腹壁瘢痕子宫内膜异位症的诊断价值  

Diagnostic value of ultrasonography examination for endometriosis of abdominal wall scar after cesarean section

作　　者：冯颖妍 梁金花 Feng Yingyan, Liang Jinhua(Type B Ultrasound Room, the People＇ s Hospital of Heshan, Heshan 529700, Chin)

机构地区：[1]广东省鹤山市人民医院B超室,529700

出　　处：《中国实用医刊》2018年第1期51-52,共2页Chinese Journal of Practical Medicine

摘　　要：目的探究超声检查对剖宫产术后腹壁瘢痕子宫内膜异位症的临床诊断价值。方法选择100例经病理检查确诊的剖宫产术后腹壁瘢痕子宫内膜异位症患者为研究对象，所有患者均行超声检查，观察超声检查的声像图特征及其诊断价值。结果经超声检查显示，确诊腹壁瘢痕子宫内膜异位症97例，诊断准确率为97．00％，与病理检查结果比较差异未见统计学意义（P〉0．05）；超声检查结果显示，病灶形态不规则，与周围界限不清，内部为不均匀低回声；彩色多普勒血流成像（CDFI）显示，病灶内血流缺损，有少量点条状血流信号。结论超声检查为剖宫产术后腹壁瘢痕子宫内膜异位症安全、可靠的检查方法，可为临床诊治提供有效依据。Objective To investigate the diagnostic value of ultrasonography examination for endometriosis in abdominal wall scar after cesarean section. Methods A total of 100 patients with endometriosis in abdominal wall after cesarean section were selected, and all patients underwent the uhrasonography examination. Then, the features and diagnostic value of ultrasonography examination were observed. Results The ultrasonography examination showed that 97 patients were diagnosed with endometriosis of abdominal wall scar, the accuracy of diagnosis was 97% , and there was no significant difference between uhrasonography examination results and pathological findings （P 〉 0. 05 ） ; the uhrasonography examination showed that the lesion had irregular shape, unclear edge and inhomogeneous echo in the interior. Color Doppler flow imaging （CDFI） showed that there was small amount of bar blood flow signal and blood flow defect in lesion. Conclusions The uhrasonography examination is a safe and reliable method for the diagnosis of endometriosis in abdominal wall after cesarean section, which can provide an effective basis for clinical diagnosis and treatment.

关 键 词：剖宫产术 腹壁瘢痕 子宫内膜异位症 超声 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R719.8[医药卫生—诊断学]