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目的探讨经腹及经阴道彩色多普勒超声联合应用对子宫腺肌症的诊断价值。方法对经手术病理证实的60例子宫腺肌症患者的彩色多普勒超声图像(CDFI)特征进行分析。结果 60例子宫腺肌症患者中,有5例误诊为子宫肌瘤,1例误诊为子宫内膜癌,诊断正确率为90%,误诊率10%。子宫腺肌症可分为局限型,弥漫型,混合型。结论以经腹彩色多普勒超声为基础,结合经阴道彩色多普勒超声,多参数综合可提高子宫腺肌症的正确诊断率。
Objective To investigate the diagnostic value of transabdominal and transvaginal color Doppler ultrasound in diagnosis of adenomyosis. Methods The color Doppler echocardiography (CDFI) features of 60 patients with adenomyosis confirmed by surgery and pathology were analyzed. Results Of the 60 cases of adenomyosis, 5 cases were misdiagnosed as uterine fibroids and 1 case was misdiagnosed as endometrial carcinoma. The diagnostic accuracy was 90% and the misdiagnosis rate was 10%. Adenomyosis can be divided into limitations, diffuse, mixed type. Conclusion Based on transabdominal color Doppler ultrasound combined with transvaginal color Doppler ultrasound, multi-parameter synthesis can improve the correct diagnosis rate of adenomyosis.