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目的探讨子宫肌瘤的声像图特征以及诊断与鉴别诊断的价值,以提高诊断准确率。方法采用RTfino超声诊断仪,对近两年来经腹部常规扫查法或加压扫查法检查子宫肌瘤90例,了解病灶的大小、形态及回声特征定期监测动态观察病灶的变化。结果90例中肌壁间肌瘤56例,浆膜下肌瘤19例,黏膜下肌瘤4例,混合性(多发性)10例,囊性变1例,[其中经手术治疗60例,病理相对照符合57例、漏诊1例(妊娠合并肌瘤)、误诊2例(子宫内膜增生误诊为子宫黏膜下肌瘤、浆膜下肌瘤玻璃样变误诊为卵巢肿瘤)]。结论超声可动态观察子宫肌瘤的声像图特征,具有简单、快捷、准确、无创伤等特点,将为诊断与鉴别诊断提供更准确的信息,对临床采取及时、恰当的治疗手段有着重要的临床价值。
Objective To investigate the characteristics of uterine fibroids and the value of diagnosis and differential diagnosis to improve the diagnostic accuracy. Methods 90 cases of uterine leiomyoma were examined by RT scan and ultrasound scan in the past two years. The size, shape and echogenicity of lesions were monitored regularly to observe the changes of lesions dynamically. Results Among the 90 cases, there were 56 cases of myocutaneous myoma, 19 cases of subserosal fibroids, 4 cases of submucous myoma, 10 cases of mixed (multiple) and 1 case of cystic degeneration (of which 60 cases were treated surgically, 57 cases of pathological comparisons, missed diagnosis in 1 case (pregnancy fibroids), misdiagnosis in 2 cases (endometrial hyperplasia misdiagnosed as uterine submucosal fibroids, subserosa fibroids misdiagnosed as ovarian cancer glass). Conclusion Ultrasound can dynamically observe the characteristics of uterine fibroids with simple, fast, accurate, non-invasive and other characteristics, will provide more accurate information for the diagnosis and differential diagnosis, clinical timely and appropriate treatment has an important Clinical Value.