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目的分析超声诊断子宫肌瘤的误诊原因。方法对保定钞票纸业有限公司职工医院2007-03-2009-10作出的8例与子宫肌瘤相关的误诊病例进行回顾性分析。结果在误诊为子宫肌瘤的6例患者中,腺肌瘤3例,卵巢纤维瘤1例,子宫肉瘤1例,过期流产1例;在子宫肌瘤误诊为其他疾病的2例患者中,子宫内膜息肉1例,卵巢肿瘤1例。结论由于子宫肌瘤生长部位不同,肌瘤变性回声改变,以及与子宫、卵巢其他病变存在声像图表现的交叉重叠性,在诊断时应综合分析,以提高诊断正确率。
Objective To analyze the causes of misdiagnosis of uterine fibroids by ultrasound. Methods Eight cases of misdiagnosis related to uterine fibroids were retrospectively analyzed in the Staff Hospital of Baoding Banknote Paper Co., Ltd. from 2007-03-2009-10. Results Among the 6 patients misdiagnosed as uterine fibroids, 3 cases were adenomyoma, 1 case was ovarian fibroma, 1 case was uterine sarcoma and 1 case was miscarriage. In 2 cases misdiagnosed as uterine fibroids, 1 case of endometrial polyps, 1 case of ovarian tumors. Conclusion Due to the different growth sites of uterine fibroids, the echogenic changes of fibroids, as well as other overlapping lesions with uterus and ovaries, there is a cross-overlap of ultrasound images should be comprehensively analyzed in diagnosis to improve the diagnostic accuracy.