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目的:探讨超声检查对子宫肌瘤与子宫腺肌病的诊断价值。方法:选择2012年1月-2014年12月在本院就诊的疑似子宫肌瘤或子宫腺肌病患者150例,其中子宫肌瘤80例,子宫腺肌病70例,比较两类疾病的超声诊断符合率、声像学特征(内部回声)及血流参数。结果:子宫肌瘤、子宫腺肌病的超声诊断符合率分别为90.0%、87.1%,差异无统计学意义(P>0.05);超声声像学特征比较,子宫肌瘤以低回声(58.3%)为主,子宫腺肌病以强弱回声(54.1%)为主,差异有统计学意义(P<0.05);子宫肌瘤的子宫动脉、病灶血流阻力指数明显低于子宫腺肌病的,而病灶周边血流阻力指数明显高于子宫腺肌病,差异均有统计学意义(P<0.05)。结论:子宫肌瘤、子宫腺肌病的声像图特征对提高其临床诊断符合率具有较大价值。
Objective: To investigate the diagnostic value of ultrasonography on uterine fibroids and adenomyosis. Methods: From January 2012 to December 2014, 150 patients with suspected uterine fibroids or adenomyosis admitted to our hospital were selected, including 80 cases of uterine fibroids and 70 cases of adenomyosis. Comparing the two types of diseases, ultrasound Diagnostic compliance, sonographic features (internal echo), and blood flow parameters. Results: The coincidence rates of uterine fibroids and adenomyosis were 90.0% and 87.1% respectively, with no significant difference (P> 0.05). Compared with ultrasonography, uterine leiomyomas had low echo (58.3% ), Adenomyosis with strong and weak echoes (54.1%), the difference was statistically significant (P <0.05); uterine fibroids uterine artery, lesion blood flow resistance index was significantly lower than that of adenomyosis , While the peripheral blood flow resistance index was significantly higher than that of adenomyosis, the difference was statistically significant (P <0.05). Conclusion: The characteristics of uterine fibroids and adenomyosis have great value in improving the coincidence rate of clinical diagnosis.