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目的 分析阔韧带平滑肌瘤的超声特点及其误诊原因。方法 回顾性分析10例真性和3例假性阔韧带平滑肌瘤超声特征,所有病例均经手术病理证实。结果 10例真性阔韧带肌瘤中,B超诊断正确3例,3例被误诊为卵巢肿瘤,4例诊断为子宫肌瘤。3例假性阔韧带肌瘤中,2例术前超声诊断为子宫肌瘤。结论 阔韧带平滑肌瘤超声表现有一定特征,术前的误诊率较高主要与超声或临床医生对其缺乏认识有关。
Objective To analyze the ultrasonographic features and misdiagnosis of broad ligament leiomyomas. Methods The echocardiographic features of 10 cases of true and 3 cases of pseudo-broad ligament leiomyoma were retrospectively analyzed. All the cases were confirmed by surgery and pathology. Results In 10 cases of true broad ligament fibroids, 3 cases were correctly diagnosed by B ultrasound, 3 cases were misdiagnosed as ovarian tumors and 4 cases were diagnosed as uterine fibroids. Three cases of pseudo-broad ligament fibroids, 2 cases of preoperative ultrasound diagnosis of uterine fibroids. Conclusion The broad ligament leiomyoma has some characteristics of ultrasonography. The higher preoperative misdiagnosis rate is mainly related to the lack of knowledge of ultrasound or clinicians.