摘要
目的探讨子宫内膜异位症的超声诊断价值。方法收集2012年1月~2013年12月在我院经过腹腔镜手术确诊患有子宫内膜异位症的93名患者超声影像特征,对比分析内在性子宫内膜异位症与外在性子宫内膜异位症的影响特征差异;结果 1子宫内膜异位症超声征象主要表现为：包块外形包块规则（占63%）、包块边界不清晰（占77.2%）、包块回声为无回声（占68.5%）或低回声（占27.2%）、内部无回声（占72.8%）;无血流信号（占80.4%）;2内在性子宫内膜异位症患者具有妊娠分娩史的占86.1%高于外在性子宫内膜异位症的66.1%;包块边界不清晰率88.9%高于外在性组的69.6%,组间差异显著;3超声诊断准确率达91.4%;结论超声对子宫内膜异位症的诊断便捷、准确率高、费用合理,但尚存在不符合特异征象的影像表现,需同时结合临床病史及其他指标进行联合诊断。
Objective In this study,the ultrasonic diagnosis value of endometriosis was discussed.Methods The ultrasonic image characteristics of 93 patients with endometriosis diagnosed with laparoscopic surgery in our hospital from January 2012 to December 2013 were collected,and the difference of imaging characteristics of endogenous endometriosis and exogenous endometriosis was analyzed.Results（1）Main expressions of ultrasonic sign were regular mass（accounting for 63%）,unclear mass boundary（77.2%）,mass echo：no echo（accounting for 68.5%）or low echo（accounting for 27.2%）,no internal echo（accounting for 72.8%）,no blood flow signal（accounting for80.4%）;（2）The patients with the history of pregnancy and childbirth accounted for 86.1%,more than those with exogenous endometriosis accounting for 66.1%;the rate of unclear mass was 88.9%,higher than that in the exogenous group 69.6%,with a significant difference between groups;（3）The accuracy rate of ultrasonic diagnosis was up to 91.4%.Conclusion Ultrasound has the advantages of convenience,high accuracy and reasonable expense for the diagnosis of endometriosis,but there still exist the imaging expressions not conforming to the special sign.Ultrasonic diagnosis combined with clinical disease history and other indicators is required.
出处
《四川解剖学杂志》
2014年第4期1-4,共4页
Sichuan Journal of Anatomy
关键词
子宫内膜异位症
超声图像
诊断价值
Endometriosis
Ultrasonogram features
Diagnostic value
