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目的:探讨经阴道彩超对子宫肌腺症的诊断价值。方法:回顾性分析65例经手术、病理证实的子宫腺肌症的超声二维图像及血流特征。结果:65例子宫腺肌症中,经阴道超声诊断59例,诊断符合率为91%,误诊漏诊6例,占9%,65例中,合并子宫肌瘤20例,合并卵巢子宫内膜异位6例。结论:经阴道彩色多普勒超声能排除肠道气体干扰,得到清晰的二维图像,并能观测到子宫腺肌症的血流信号,对于子宫腺肌症的诊断及鉴别诊断有重要的价值。
Objective: To investigate the value of transvaginal ultrasound in the diagnosis of uterine adenomyosis. Methods: A retrospective analysis of 65 cases of pathologically confirmed adenomyosis ultrasound two-dimensional images and blood flow characteristics. Results: In 65 cases of adenomyosis, transvaginal ultrasonography was performed in 59 cases. The diagnostic coincidence rate was 91%, misdiagnosis and missed diagnosis in 6 cases, accounting for 9%. Among 65 cases, 20 cases were complicated with uterine fibroids, with ovarian endometriosis 6 cases. CONCLUSION: Transvaginal color Doppler ultrasound can eliminate the gastrointestinal gas disturbance and get a clear two-dimensional image, and can observe the blood flow signal of adenomyosis, which is of great value in the diagnosis and differential diagnosis of adenomyosis .