彩色多普勒超声诊断子宫肌瘤和子宫腺肌症的临床比较  

Clinical effect of ultrasonography on differential of diagnosis of uterine fibroids and adenomyosis

作　　者：刘丽娜[1] 李文娟[1] 毛秋娴 LIU Lina;LI Wenjuan;MAO Qiuxian(Guangdong No.2 People's Hospital,Guangzhou 510317,China)

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《现代医院》2020年第5期768-771,共4页Modern Hospitals

基　　金：广东省医学科学技术研究基金(A2019016)。

摘　　要：目的比较彩色多普勒超声诊断检查子宫肌瘤和子宫腺肌症的效果,对比其影像学特征,为临床诊治提供理论参考。方法选取医院2018年8月-2019年7月收治的经术后病理活检确诊的子宫肌瘤和子宫腺肌症患者各42例作为研究对象,分别视为肌瘤组和腺肌组。病理活检确诊前均采用彩色多普勒超声对两组患者进行诊断检查,比较两组诊断符合率、子宫动脉血流指数和影像学特征。结果肌瘤组诊断符合率为95. 24%(40/42);腺肌组诊断符合率为92. 86%(39/42),两组诊断符合率差异无统计学意义(P> 0. 05)。肌瘤组病灶及病灶周边子宫动脉血流指数为(0. 61±0. 18)、(0. 68±0. 20),腺肌组病灶及病灶周边子宫动脉血流指数(0. 82±0. 24)、0,肌瘤组病灶低于腺肌组,病灶周边高于腺肌组,差异有统计学意义(P <0. 05)。肌瘤组影像学特征中,边界清晰率和低回声率高于腺肌组,不均匀回声率低于腺肌组,差异有统计学意义(P <0. 05);中回声率、强回声率两组比较,差异无统计学意义(P> 0. 05)。结论彩色多普勒超声诊断子宫肌瘤和子宫腺肌症符合率较高,子宫肌瘤子宫动脉血流指数低于子宫腺肌症,边界清晰、低回声以及不均匀回声等影像学特征存在较大差异,诊断时应注意鉴别诊断,以此提升诊断的效果。Objective To study the clinical effect of ultrasonography with color doppler ultrasound on the differential diagnosis of uterine fibroids and adenomyosis,by comparing the imaging characteristics so as to provide theoretical reference for clinical diagnosis and treatment. Methods Forty-two patients with uterine fibroids,diagnosed by pathological biopsy and admitted to our hospital from August 2018 to July 2019,were assigned as the uterine fibroid group,and another 42 patients with adenomyosis admitted during the same period were as adenomyosis group. The patients in the two groups were examined by color doppler ultrasound. The two groups were compared in terms of the diagnostic coincidence rate,uterine artery blood flow index and imaging characteristics. Results The diagnostic coincidence rate of uterine fibroids was 95. 24%( 40/42).The diagnostic coincidence rate of adenomyosis group was 92. 86%( 39/42),and there was no significant difference between the two groups( P > 0. 05). The blood flow index of lesions and peripheral uterine artery in uterine fibroids was( 0. 61 ± 0. 18) and( 0. 68 ± 0. 20),while the blood flow index of lesions and peripheral uterine artery in adenomyosis group was( 0. 82 ± 0. 24) and 0. The difference was statistically significant( P < 0. 05). Among the imaging characteristics of uterine fibroids,the boundary clearness rate and hypoechoic rate were higher than those of adenomyosis group,and the uneven echo rate was lower than those of adenomyosis group,with statistically significant differences( P < 0. 05). The difference between the two groups was not statistically significant( P > 0. 05). Conclusion The ultrasonic diagnosis of uterine fibroids and adenomyosis has a higher coincidence rate. But there are significant differences in their imaging: The uterine artery blood flow index of uterine fibroids is lower than that of adenomyosis;The boundary is clear,hypoechoic,with non-uniform echo.Therefore,the differential diagnosis should be paid attention to,in order to improve the diagnosti

关 键 词：彩色多普勒超声 子宫肌瘤 子宫腺肌症 诊断符合率 影像学特征 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.74[医药卫生—诊断学]