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目的:探讨彩色多普勒超声对子宫肌瘤的诊断价值。方法:对选择2015年1月至2015年10月在我院手术治疗病经病理证实的子150例宫肌瘤患者的病历资料进行回顾性研究,患者术前均同时采用彩色多普勒超声检查,分析检出率和子宫肌瘤的声像图特征。结果:150例子宫肌瘤患者肌壁间肌瘤79例,浆膜下肌瘤41例,黏膜下肌瘤30例。术前彩色多普勒超声检出121例,检出157个肌瘤,肌瘤最长径0.7cm~9.9cm,检出率为80.67%。肌壁间肌瘤79例,检出60例,检出率75.95%;浆膜下肌瘤41例,检出34例,检出率为82.93%,黏膜下瘤30例,检出27例,检出率为90%。结果:彩色多普勒超声诊断子宫肌瘤有较高的检出率,可为临床提供有力诊断依据,临床检查全方位仔细探查,结合临床症状体征进行综合判断,以提高诊断率,减少漏诊率和误诊率。
Objective: To investigate the diagnostic value of color Doppler ultrasound in uterine fibroids. Methods: The clinical data of 150 cases of uterine leiomyoma confirmed by pathology in our hospital from January 2015 to October 2015 were retrospectively studied. All patients underwent preoperative color Doppler ultrasonography , Analysis of detection rate and uterine fibroids sonographic features. Results: There were 79 cases of interstitial myoma of uterine fibroids, 41 cases of subserosal fibroids and 30 cases of submucous myomas. Preoperative color Doppler ultrasound detected 121 cases, 157 fibroids were detected, the longest diameter fibroids 0.7cm ~ 9.9cm, the detection rate was 80.67%. Myometrial myoma in 79 cases, 60 cases were detected, the detection rate was 75.95%; 41 cases of subserosal fibroids, 34 cases were detected, the detection rate was 82.93%, 30 cases of submucous, detected 27 cases, The detection rate was 90%. Results: Color Doppler ultrasound diagnosis of uterine fibroids have a higher detection rate, which can provide a powerful basis for clinical diagnosis, clinical examination thoroughly explore all-round, combined with clinical signs and symptoms to make a comprehensive judgment to improve the diagnostic rate and reduce the rate of misdiagnosis And misdiagnosis rate.