目的:探讨子宫静脉内平滑肌瘤的临床、病理特点及超声声像图表现情况。方法:选取我院接收的6例子宫静脉内平滑肌瘤患者作为本次的研究对象,并对患者临床、病理特点及超声声像图像表现情况进行回顾性分析。结果:子宫静脉内平滑肌瘤的临床表现和普通子宫肌瘤相似,其中3例患者主诉为盆腹腔包块,1例患者为月经改变,1例患者为下腹坠胀感或疼痛,1例患者为白带增多。术前超声确诊1例,5例患者误诊;本组6例患者中2例患者行全子宫及一侧附件切除术治疗,1例患者行肌瘤剔除术治疗,1例患者行全子宫切除术治疗,2例患者行全子宫及双侧附件切除术治疗。结论:子宫静脉内平滑肌瘤无特异性声像图是导致超声检查准确率较低的一项重要因素。 Objective: To investigate the clinical and pathological features of leiomyoma of the uterus and the appearance of ultrasonography. Methods: Six cases of uterine venous leiomyoma received in our hospital were selected as the research object. The clinical, pathological features and the ultrasonographic features were retrospectively analyzed. Results: The clinical manifestations of uterine leiomyoma were similar to those of common uterine fibroids. Among them, 3 patients complained of abdominal mass, 1 patient had menstrual changes, 1 patient had abdominal distension or pain, 1 patient Increased for leucorrhea. One patient was diagnosed by ultrasonography before operation and 5 patients were misdiagnosed. Two patients in this group were treated by hysterectomy and one-side attachment excision. One patient underwent myomectomy and one patient underwent hysterectomy Treatment, 2 patients underwent hysterectomy and bilateral attachment resection. Conclusion: The uterine venous leiomyoma nonspecific echocardiography is an important factor that leads to lower accuracy of ultrasonography.