目的 :探讨子宫肌瘤B型超声诊断的临床应用价值,分析其与子宫瘤肌病声像图的鉴别。方法 :用经腹常规扫查及腹部加压扫查法进行检查,对子宫瘤肌的大小、类型及病灶变化情况进行分析。结果 :本组主要选取2011年5月-2016年5月我院收治的73例患者为研究对象,术前B超诊断子宫肌瘤和手术病理诊断的相符率为84.9%,有5例子宫腺肌病被误诊为子宫瘤肌病,6例子宫肌瘤合并子宫腺肌病被误诊为子宫瘤肌病。62例患者中,诊断肌壁间肌瘤为27例、黏膜下肌瘤为20例、浆膜下肌瘤为15例,其中25例肌瘤瘤体<5cm,21例瘤体在5-9cm,13例在10-19cm,1例>19cm,2例大小不明确。结论 :B型超声可有效保证子宫肌瘤声像图特征获取的准确性,及时为临床选择最佳的治疗方案提供可靠参考,但在B型超声检查过程中,应注意区别子宫肌瘤和子宫腺肌病。 Objective: To investigate the clinical value of B-mode ultrasonography in the diagnosis of uterine fibroids and analyze the differential diagnosis of uterine fibroids with sonography. Methods: The routine abdominal examination and abdominal compression scanning were examined, the size of the uterine leiomyoma, type and lesion changes were analyzed. Results: In this study, 73 patients admitted to our hospital from May 2011 to May 2016 were enrolled in this study. The coincidence rate of preoperative ultrasound diagnosis of uterine fibroids and surgical pathology was 84.9%. There were 5 cases of uterine gland Myopathy was misdiagnosed as uterine leiomyoma, 6 cases of uterine fibroids with adenomyosis was misdiagnosed as uterine leiomyoma. Among the 62 patients, 27 were diagnosed as intramural fibroids, 20 were submucosal fibroids, 15 were subserosal fibroids, of which 25 were fibroid <5 cm and 21 were on 5-9 cm , 13 cases in 10-19cm, 1 case> 19cm, 2 cases of unknown size. Conclusion: B-mode ultrasound can effectively ensure the accuracy of obtaining the sonographic features of uterine fibroids and provide a reliable reference for the clinical treatment of the best treatment options. However, in the B-mode ultrasound examination, we should pay attention to the difference between uterine fibroids and uterine fibroids Adenomyosis.