CDFI鉴别诊断子宫肌瘤与子宫腺肌病.docVIP

CDFI鉴别诊断子宫肌瘤与子宫腺肌病 　　【摘 要】目的：探讨彩色多普勒超声（CDFI）鉴别诊断子宫肌瘤与子宫腺肌病的应用价值。方法：回顾我院2008年9月至2010年9月经手术及病理证实的866例子宫肌瘤、子宫腺肌病的CDFI声像图及血流变化情况，并对其进行比较分析。结果：二者的声像图主要区别是子宫肌瘤瘤体与肌壁分界明显，而子宫腺肌病不明显；二者血流的区别是子宫肌瘤瘤体周边有环状、半环状血流，而且瘤体内有少许血流信号，而子宫腺肌病有弥散分布的血流。结论：CDFI对子宫肌瘤及子宫腺肌病的鉴别诊断有重要应用价值。 　　【关键词】子宫肌瘤；子宫腺肌病；CDFI ；鉴别诊断 　　【中图分类号】R71 【文献标识码】A 【文章编号】1004-7484（2013）03-0008-02 　　CDFI IN DIFFERENTIAL DIAGNOSIS OF UTERINE MYOMA AND ADENOMYOSIS 　　Zhou Xiao-li1， Ji Xue-cheng 2， Chen Hui 2 　　（Department of ultrasoundsonology1 ， Department of Neurosurgery2，Mindong Hospital Affiliated to Fujian Medical University， Fuan，Fujian-355000） 　　【ABSTRACT】Objective：To investigate the application value of Colorful Doppler Flow Imaging （ CDFI ） in differential diagnosis of uterine myoma and adenomyosis. Methods：CDFI ultrasonography and blood changes of 866 cases uterine fibroids， uterine adenomyosis confirmed by operation and patholog in our hospital from Sep 2008 to Sep were retrospectively and comparatively analyzed. Results：The main difference of image between the two is uterine myoma and intramural has clear boundaries， but that of adenomyosis was not obvious. The main difference of blood flow between the two is surrounding the uterine myoma has a circular， semicircular blood flow， and in the tumor has a little blood flow signal， but adenomyosis has dispersed flow. Conclusion：CDFI has important application value in the differential diagnosis of uterine fibroids and adenomyosis. 　　【KEY WORDS】Uterine leiomyomas， uterine adenomyosis， CDFI differential diagnosis. 　　子宫肌瘤与子宫腺肌病是女性生殖器中常见的两大疾病。两者声像图改变有许多相似之处，超声鉴别诊断困难。本文对我院2008年9月至2010年9月经手术及病理证实的866例子宫肌瘤、子宫腺肌病的彩色多普勒超声（CDFI）图像及血流进行回顾性分析，评估CDFI在两者鉴别诊断中的应用价值。 　　1 资料与方法 　　1.1 一般资料：本组经手术及病理证实的866例患者中，子宫肌瘤572例，其中多发子宫肌瘤22例（占3.85%），共检出肌瘤637个，发病年龄25-56岁，平均42.5岁；子宫肌瘤合并其它疾病：输卵管、异位妊娠21例，子宫颈癌19例，卵巢畸胎瘤13例，功能性子宫出血11例，卵巢单纯囊肿10例，卵巢良性肿瘤9例，流产或先兆流产9例，子宫脱垂8例，盆腔炎5例，共计105例（占18.36%）。子宫腺肌病294例，均为单一病灶，发病年龄23-57岁，平均40.6岁；子宫腺肌病合并其它疾病：输卵管、异位妊娠10例，卵巢畸胎瘤8例，功能性子宫出血5例，流产或先兆流产5例，子宫颈癌3例，共计31例（占1