142例子宫肌瘤患者经腹超声检查技巧与特点分析.docVIP

142例子宫肌瘤患者经腹超声检查技巧与特点分析 摘要：目的：探讨子宫肌瘤患者经腹超声检查的技巧与声像图特点。方法：以我院2010年4月-2012年10月经腹加压超声扫查142例手术治疗子宫肌瘤患者为研究对象，比较分析术前超声诊断和术后病理诊断在各型子宫肌瘤中的检出率。结果：本组142例术后病理诊断子宫肌瘤139例，子宫腺肌病3例，超声诊断符合率为97.9%，其中肌壁间肌瘤62例，超声误诊5例，误诊率为8.1%；浆膜下肌瘤42例，超声漏诊3例，漏诊率为7.1%；粘膜下肌瘤35例，超声误诊1例，误诊率为2.9%。超声和病理检查各型子宫肌瘤间无显著性差异（P 0.05）。结论：改善超声检查技巧可以提高子宫肌瘤的检出率。 关键词：子宫肌瘤 B超 鉴别诊断 Doi：10.3969/j.issn.1671-8801.2013.07.117 142 patients with myoma of uterus of transabdominal ultrasonography technique and characteristic analysis Yang Junmei Abstract：Objective：To investigate the patients with uterine fibroids transabdominal ultrasound examination skills and sonographic features.Methods：： In our hospital from 2010 April -2012 year 10 menstrual abdominal compression ultrasound scanning in 142 cases of patients with uterine myoma operation treatment as the object of study，analysis and comparison of preoperative and postoperative pathological diagnosis rate in different types of leiomyoma of uterus.Result： In this group，142 cases of postoperative pathological diagnosis of 139 cases of uterine myoma，3 cases of uterine adenomyosis，ultrasound diagnosis coincidence rate is 97.9%，the intramural myoma in 62 cases，5 cases were misdiagnosed，the misdiagnosis rate was 8.1%； 42 cases of subserous myoma，missed by ultrasound in 3 cases，the missed diagnosis rate was 7.1%； submucous tumor in 35 cases，1 cases were misdiagnosed，the misdiagnosis rate is 2.9%.There was no significant difference between ultrasound and pathological examination of various types of uterine leiomyoma （P 0.05）.Conclusion：To improve the ultrasonic inspection techniques can improve the detection rate of uterine leiomyoma. Keywords：B ultrasound in differential diagnosis of uterine myoma 【中图分类号】R4 【文献标识码】B 【文章编号】1671-8801（2013）07-0111-01 子宫肌瘤是中年女性生殖系统常见疾病，其治疗关键在于早发现、早治疗。近年来，超声医学在子宫肌瘤的诊断中发挥了重要的作用，但由于影像学诊断具有一定的主观差异性，造成超声检查对病变的性质确定存在局限性。现将我院142例手术治疗的子宫肌瘤患者腹部加压超声扫查资料回顾性分析如下： 1 资料与方法 1.1 临床资料。以我院2010年4月-2012年10月经腹加压超声扫查142例手术治疗子宫肌瘤患者为研究对象，年龄27-58岁，平均41.7±6.4岁，未婚27例，占19.0%，已婚115例，