子宫肌瘤B超鉴别诊断与结果分析.docVIP

精品论文 参考文献 子宫肌瘤B超鉴别诊断与结果分析 邢丽华 　　（河北承德市第六医院 067200） 　　【摘要】目的：总结分析B超在子宫肌瘤鉴别诊断中的应用价值。方法：选择2013年1月～2013年11月期间我院门诊和住院部收治的通过B超诊断的80例子宫肌瘤患者为研究对象，回顾分析B超在子宫肌瘤诊断和鉴别诊断中的准确性。结果：80例患者B超检查时均发现子宫底部存在强回声团，且周边界限非常清楚。67例患者在B超检查横切面或斜切面检查时可见子宫左侧角位置存在直径大小接近的强回声光团。13例患者在B超横切面和斜切面扫描时可见子宫右侧角存在大小接近的强光团回声。B超诊断42例患者肌瘤直径在5cm以下，25例患者肌瘤直径在5～9cm，13例患者肌瘤在9cm以上。手术和病理证实80例患者中69例为子宫肌瘤，B超诊断准确率为86.25%。结论：B超检查技术在子宫肌瘤诊断和鉴别诊断中均具有重要应用价值，同时具有操作简单、无痛、无创、重复性好、诊断准确率高的优势，临床值得推广使用。 　　【关键词】子宫肌瘤 鉴别诊断 B超检查 　　【中图分类号】R445 【文献标识码】A 【文章编号】1672-5085（2014）03-0064-02 　　 　　Clinical diagnosis and analysis of results of B-ultrasound in uterine fibroids 　　【Abstract】 Objective: To investigate value of diagnosis of B-ultrasound in uterine fibroids. Methods: 80 patients with uterine fibroids in our hospital from January 2013 to November 2013 were selected as study .The accuracy of diagnosis of B-ultrasound in uterine fibroids were reviewed. Results: when patients with B -ultrasound ,80 patients were found that there was a strong echo group at the bottom of the uterus ,67 patients with strong light echo groups at left uterine horn position,13 patients with strong light echo groups at right uterine horn position; 42 patients with fibroids diameter 5cm or less,25 patients with fibroids diameter 5cm-9cm, 13 patients with fibroids diameter 9cm or bigger;After B-ultrasound diagnostic,In 80 patients ,69 cases of uterine fibroids were confirmed with pathologically and Surgery ,with accuracy of 86.25%. Conclusion: B-ultrasound diagnosis in uterine fibroids has important value ,While with simple, painless , non-invasive , reproducible, high diagnostic accuracy advantage. 　　【Key words】uterine fibroids;diagnosis ;B-ultrasound 　　子宫肌瘤是女性常见的良性肿瘤，绝大多数子宫肌瘤是良性的，但倾向于多发，随着年龄增长，肌瘤可能逐渐增大增多[1]。子宫肌瘤的恶变率很低，约为0.4%～0.8%，但仍需警惕恶变风险。子宫肌瘤多发于中年女性，35岁以上女性发病率达到40%。同时多数子宫肌瘤患者无明显症状，偶尔在盆腔检查中发现[2]。随着现代医学技术的发展，B超技术也在不断改进，B超作为一种有效的、方便快捷的、无创伤性的常用疾病诊断手段已经成为鉴别诊断子宫肌瘤的主要手段[3]。现将我院B超诊断的80例子宫肌瘤患者的临床资料情况进行详细分析报道如