子宫腺肌病及子宫肌瘤超声图像特征对比.doc

子宫腺肌病及子宫肌瘤超声图像特征对比[摘要] 目的 分析子宫腺肌病与子宫肌瘤超声检查结果，探讨各自超声图像特征。方法 对60例子宫腺肌病及180例子宫肌瘤患者采用Philips HD 11 XE和Toshiba SSA-660A超声诊断仪多切面扫描；然后观察病变区的彩色多普勒血流分布情况。结果 子宫腺肌病超声特征：子宫增大形态饱满经期增大更明显、肌层散在分布似“蜂窝”状小无回声区，CDFI低速高阻血流频谱（RI=0.73±0.07）；子宫肌瘤超声特征：以包块假包膜形成、界限清楚，CDFI团块周围血流呈环状或半环状血流为主，肌瘤内部可记录到低阻力的动脉频谱 （RI=0.65±0.08）。结论 子宫肌瘤与子宫腺肌症的超声图像有不同特征性改变，超声对两者的诊断及鉴别诊断有较大价值。 [关键词] 子宫腺肌病；子宫肌瘤；超声图像特征 [中图分类号] R737.33 [文献标识码] B [文章编号] 1673-9701（2011）31-97-02 Uterine Gland Myopathy and Uterine Fibroids Ultrasound Image Characteristics Contrast WANG Bei Department of Ultrasound，Lanxi City Traditional Chinese Medicine Hospital，Lanxi321100，China [Abstract] Objective To analyze the different ultrasound results between gland myopathy and uterine fibroids，and to discusses the ultrasound images characteristics. Methods We took Philips HD 11 XE and Toshiba SSA-660A ultrasonic scanning 60 cases uterine gland myopathy and 180 cases patients with uterine fibroids.Then to observe the color doppler flow distribution in lesions areas.Results Uterine gland myopathy sonographic features： the uterus increases and the period was more obvious，muscular layer scattered over small no echo area like “honeycomb” shape；CDFI low speed high resistance blood flow spectrum （RI=0.73±0.07）；Uterine fibroids sonographic features was bag piece psuedocapsule formation，boundaries clear CDFI mass flow around show cricoid or half ring blood flow，fibroids recorded to low resistance within the artery spectrum （RI=0.65±0.08）. Conclusion The ultrasound image of uterine fibroids and Uterine gland myopathy have changed in characteristic differently，the diagnosis and differential diagnosis from ultrasound has great value. [Key words] Uterine gland myopathy； Uterine fibroids；Ultrasound image characteristics 子宫肌瘤及子宫腺肌病为妇科常见疾病，两种疾病发病群体相同，临床表现相似，但两种疾病的发病机制及处理方法不同，需要明确进行鉴别诊断，超声检查是两种疾病的重要检查方法[1]。本文通过对比子宫肌瘤及子宫腺肌病二维超声与彩色多普勒血流成像资料，探讨各自超声图像特征，现报道如下。 1 对象与方法 1.1 研究对象 选择2007年1月～2011年3月我院病理证实的60例子宫腺肌病及180例子宫肌瘤患者作为研究对象，60例子宫腺肌病