摘要
目的回顾性分析腹壁子宫内膜异位症患者的超声影像特征和临床特点。方法选择我院2013年1月至2015年12月收治的117例子宫内膜异位症患者,117个病灶作为研究对象,将病灶按最大直径分为<3cm组和≥3cm组,分析每个病灶的超声表现和每位患者的临床特点,将结果进行统计学分析。结果≥3cm组强回声较为少见,病灶外形多为不规则,深度多位于筋膜或腹壁全层,边界不清晰,血流信号丰富更为常见;<3cm组病灶外形也是不规则和边界不清晰偏多,但是不规则率和边界不清晰率显著低于≥3cm组,浸润深度多位于皮下脂肪组织,血流信号多为少量或者无。结论超声能够了解到病灶数目、大小、范围及侵入肌层深浅等情况,能为腹壁子宫内膜异位症的临床病情分析及治疗提供重要依据。
Objective To analyze the Clinical characteristics and sonographic features of abdominal wall endometriosis. Methods 117 cases of abdominal tumor resection patients treated in our hospital from January 2013 to December 2015 were selected and analyzed retrospectively with 117 lesions,which were divided into group 〈 3cm and group ≥3cm according to the maximum diameter of lesions. The clinical data and the result of the sonographic examinations were reviewed andanalyzed. Results Strong echo is relatively rare in ≥3cm group with deeper location located in the fascia or full-thickness abdominal wall, irregular shape and abundant of vascularity were more common. As for 〈 3cm group, irregular rate and the rate of blurred boundarie was significantly lower than those of ≥ 3cm group, the depth of infiltration located in subcutaneous adipose tissue and none or few vascularity were more common. Conclusion Can clearly show the relationship between tumor and the abdominal wall muscle layer, and more accurate information can be provided by judging the number of lesions, thesize, range and infiltrative depth, which can provide an important basis for the clinical analysis and treatment of abdominal wall endometriosis
出处
《辽宁医学杂志》
2016年第4期19-20,22,共3页
Medical Journal of Liaoning
关键词
腹壁子宫内膜异位症
超声
影响特征
Abdominal wall endometriosis
Sonography
Impact characteristics