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目的:探讨子宫内膜异位症和子宫腺肌病的鉴别诊断及治疗方法与效果。方法:选择2009年2月～2013年1月我中心收治的子宫内膜异位症和子宫腺肌病患者80例,其中子宫内膜异位症50例,子宫腺肌病30例,均进行超声诊断与联合治疗。结果:二维超声显示2组内膜都呈现均匀性增厚,病灶与周围肌层没有界限,内部不均匀性回声。子宫内膜异位症患者的动脉血流RI值明显高于子宫腺肌病患者(P<0.05)。所有患者都经过治疗后痊愈出院,无严重不良反应发生。结论:采用彩色超声鉴别诊断子宫内膜异位症和子宫腺肌病有很好的效果,而药物联合使用治疗能取得很好的预后。
Objective: To explore the differential diagnosis and treatment of endometriosis and adenomyosis and its effects. Methods: Eighty patients with endometriosis and adenomyosis admitted to our center from February 2009 to January 2013 were selected, including 50 cases of endometriosis and 30 cases of adenomyosis Ultrasound diagnosis and combination therapy. Results: Two-dimensional ultrasound showed thickening of the intima of both groups, with no boundary between the lesion and the surrounding muscular layer and internal non-uniform echo. The RI of arterial blood flow in patients with endometriosis was significantly higher than that in patients with adenomyosis (P <0.05). All patients were cured after discharge, no serious adverse reactions occurred. Conclusion: The use of color ultrasound in the diagnosis of endometriosis and adenomyosis has a good effect, and the combination of drugs can achieve good prognosis.