超声检查对子宫腺肌病与子宫肌瘤中的显像特点及鉴别价值评估研究  

Ultrasonography in the Imaging Characteristics and Differential Value Evaluation of Adenomyosis and Uterine Fibroids

作　　者：邓娜 DENG Na(Ganzhou People’s Hospital,Jiangxi Ganzhou 341000)

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《中国医疗器械信息》2023年第22期128-130,共3页China Medical Device Information

摘　　要：目的:探讨超声检查对子宫腺肌病与子宫肌瘤中的显像特点及鉴别价值。方法:本次研究为回顾性分析。选取2020年1月~2021年12月本院收治的子宫腺肌病(63例)、子宫肌瘤(60例)患者作为研究对象;入组患者均行经阴道超声检查+腹部超声检查。记录超声检查符合率、超声检查图像特点以及子宫血流参数。结果:子宫腺肌病、子宫肌瘤超声检查符合率分别为88.89%(56/63)、90.00%(54/60),两种疾病超声检查符合率比较无统计学差异(P>0.05)。两种疾病超声检查图像在病灶位置、超声特点不同;子宫腺肌病超声检查图像以同步增强型为主,子宫肌瘤超声检查图像以环状增强型为主;两种疾病超声检查图像类型比较有统计学差异(P<0.05)。子宫腺肌病患者子宫PI低于子宫肌瘤患者,RI高于子宫肌瘤患者(P<0.05);子宫腺肌病患者子宫PSV、EDV与子宫肌瘤组患者比较无统计学差异(P>0.05)。结论:超声检查应用于子宫腺肌病、子宫肌瘤诊断中,具有较高的符合率,并且两者超声图像特点、子宫血流存在较大差异,可用于鉴别诊断。Objective:To explore the imaging characteristics and differential value of ultrasound in adenomyosis and uterine fibroids.Methods:This study was a retrospective analysis.From January 2020 to December 2021,the patients with adenomyosis(63 cases)and uterine fibroids(60 cases)admitted to our hospital were selected as the research objects;All patients in the group underwent transvaginal ultrasound examination+abdominal ultrasound examination.Record the ultrasound examination compliance rate,ultrasound examination image characteristics,and uterine blood flow parameters.Results:The accuracy rates of ultrasound examination for adenomyosis and uterine fibroids were 88.89%(56/63)and 90.00%(54/60),respectively.There was no statistically significant difference in the accuracy rates of ultrasound examination between the two diseases(P>0.05).The ultrasound examination images of the two diseases have different locations and ultrasound characteristics of the lesions;The ultrasound images of adenomyosis are mainly synchronous enhanced,while the ultrasound images of uterine fibroids are mainly circular enhanced;There is a statistical difference(P<0.05)in the comparison of ultrasound examination image types between the two diseases.Patients with adenomyosis had lower uterine PI than those with uterine fibroids,and higher RI than those with uterine fibroids(P<0.05);There was no statistically significant difference(P>0.05)in the PSV and EDV of the uterus between patients with adenomyosis and those with uterine fibroids.Conclusion:Ultrasonography is used in the diagnosis of adenomyosis and uterine fibroids,and has a high coincidence rate,and there are big differences in the ultrasonic image characteristics and uterine blood flow between the two.It can be used for differential diagnosis.

关 键 词：子宫腺肌病 子宫肌瘤 超声 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]