中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
6期
992-993
,共2页
子宫内膜异位症%腹壁切口%超声检查%病理诊断
子宮內膜異位癥%腹壁切口%超聲檢查%病理診斷
자궁내막이위증%복벽절구%초성검사%병리진단
Endometriosis%Abdominal incision%Ultrasound%Pathological diagnosis
目的：探讨超声诊断应用于剖宫产腹壁切口子宫内膜异位症诊断中的临床效果。方法：回顾性分析我科收治的30例术后或病理诊断确诊为腹壁切口子宫内膜异位症患者的超声检查资料,观察和探讨超声诊断对该病的诊断价值。结果：30例患者肿块多呈不均匀低回声,形态不规则,包膜无明显回声,较小的肿块后方回声轻度增强,较大的肿块后方轻度减弱。CDFI结果显示,19例无明显彩色血流信号,8例周边部有短线状血流信号,3例周边部有星状血流信号。PW(脉冲多普勒)显示为低速高阻型的动脉频谱,PSV(峰值血流速度)最小为5.9cm/s,最高为20.6cm/s,RI为0.67~0.84。结合患者症状、体征及超声检查结果,均确诊为腹壁切口异位子宫内膜症,与病理诊断结果相符。结论：超声检查诊断腹壁切口子宫内膜异位症具有无创伤、可重复性好、操作简单等优点,将超声检查结合与患者的症状、体征、病史等相结合,是诊断和鉴别剖宫产术后腹壁切口子宫内膜异位症十分有价值的方法。
目的：探討超聲診斷應用于剖宮產腹壁切口子宮內膜異位癥診斷中的臨床效果。方法：迴顧性分析我科收治的30例術後或病理診斷確診為腹壁切口子宮內膜異位癥患者的超聲檢查資料,觀察和探討超聲診斷對該病的診斷價值。結果：30例患者腫塊多呈不均勻低迴聲,形態不規則,包膜無明顯迴聲,較小的腫塊後方迴聲輕度增彊,較大的腫塊後方輕度減弱。CDFI結果顯示,19例無明顯綵色血流信號,8例週邊部有短線狀血流信號,3例週邊部有星狀血流信號。PW(脈遲多普勒)顯示為低速高阻型的動脈頻譜,PSV(峰值血流速度)最小為5.9cm/s,最高為20.6cm/s,RI為0.67~0.84。結閤患者癥狀、體徵及超聲檢查結果,均確診為腹壁切口異位子宮內膜癥,與病理診斷結果相符。結論：超聲檢查診斷腹壁切口子宮內膜異位癥具有無創傷、可重複性好、操作簡單等優點,將超聲檢查結閤與患者的癥狀、體徵、病史等相結閤,是診斷和鑒彆剖宮產術後腹壁切口子宮內膜異位癥十分有價值的方法。
목적：탐토초성진단응용우부궁산복벽절구자궁내막이위증진단중적림상효과。방법：회고성분석아과수치적30례술후혹병리진단학진위복벽절구자궁내막이위증환자적초성검사자료,관찰화탐토초성진단대해병적진단개치。결과：30례환자종괴다정불균균저회성,형태불규칙,포막무명현회성,교소적종괴후방회성경도증강,교대적종괴후방경도감약。CDFI결과현시,19례무명현채색혈류신호,8례주변부유단선상혈류신호,3례주변부유성상혈류신호。PW(맥충다보륵)현시위저속고조형적동맥빈보,PSV(봉치혈류속도)최소위5.9cm/s,최고위20.6cm/s,RI위0.67~0.84。결합환자증상、체정급초성검사결과,균학진위복벽절구이위자궁내막증,여병리진단결과상부。결론：초성검사진단복벽절구자궁내막이위증구유무창상、가중복성호、조작간단등우점,장초성검사결합여환자적증상、체정、병사등상결합,시진단화감별부궁산술후복벽절구자궁내막이위증십분유개치적방법。
To evaluate ultrasound abdominal incision cesarean section applies endometriosis clinical results. Methods:A retrospective analysis of 30 patients admitted to our department postoperative pathological diagnosis or the diagnosis of abdominal incision endometriosis patients with ultrasound data, observation and discussion ultrasound diagnosis of the disease.Results:30 cases of patients with abdominal mostly heterogeneous hypo-echo mass with irregular shape, no obvious echo envelope, slightly smaller mass posterior echo enhancement, larger mass behind the slight weakening. CDFI showed 19 cases no obvious color flow signals, eight cases of peripheral blood flow signals with short linear, three cases have star-like peripheral blood flow signal. PW (pulsed Doppler) is displayed as the arteries of low impedance type spectrum, PSV (peak velocity) a minimum of 5.9cm/s, up to 20.6cm/s,RI was 0.67~0.84. Combined with patient symptoms, signs and ultrasound results were diagnosed as abdominal incision endometriosis disease, and pathological diagnosis results. Conclusion:Ultrasound diagnosis of endometriosis abdominal incision with non-invasive, reproducible, simple operation, etc., will be combined with ultrasound examination the patient's symptoms, signs, medical history is the combination of diagnosis and differential cesarean postoperative incision endometriosis is very valuable method.
