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目的:探究彩超在子宫肌瘤与子宫腺肌症的诊断与鉴别诊断中的作用。方法:入选2015年8月至2016年8月的子宫肌瘤患者31例为子宫肌瘤组,选择子宫腺肌症患者31例为子宫腺肌症组,两组均接受彩超检查,比较两组的超声声像图和超声测量的主要指标。结果:子宫肌瘤组中低回声比例为83.9%,高回声比例为12.9%,等回声比例为3.2%。子宫腺肌症组中低回声比例为22.6%,高回声比例为77.4%。子宫肌瘤以低回声为主,子宫腺症以高回声为主。子宫肌瘤组的子宫动脉阻力指数(RI)明显低于子宫腺肌症组,搏动指数(PI)和血流量(BFV)明显高于子宫腺肌症组,差异有统计学的意义(P<0.05)。结论:彩超可对子宫肌瘤与子宫腺肌症进行鉴别诊断,值得在临床中推广应用。
Objective: To explore the role of color Doppler ultrasound in the diagnosis and differential diagnosis of uterine fibroids and adenomyosis. Methods: Thirty-one patients with uterine fibroids who were selected from August 2015 to August 2016 were uterine fibroids, 31 patients with adenomyosis were selected as adenomyosis group, and both groups were examined by color Doppler ultrasound. Ultrasonography and ultrasound measurements of the main indicators. Results: In the uterine fibroids group, the rate of low echo was 83.9%, the rate of high echo was 12.9% and the rate of equal echo was 3.2%. In the adenomyosis group, the rate of hypoechoic was 22.6% and the percentage of hyperechoic was 77.4%. Hysteromyoma with hypoechoic, uterine adenosis mainly hyperechoic. The uterine artery resistance index (RI) of uterine fibroids group was significantly lower than that of adenomyosis group, and the pulsatility index (PI) and blood flow (BFV) were significantly higher than those of adenomyosis group (P < 0.05). Conclusion: Color Doppler ultrasonography can differentiate uterine fibroids and adenomyosis, which is worth popularizing in clinic.