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目的:探讨经阴道二维及彩色多普勒诊断子宫肌瘤、子宫腺肌瘤的临床价值。方法:对我院2009年7月—2011年7月经手术病理证实子宫肌瘤及子宫腺肌瘤127例,经阴道超声分析二维及彩色多普勒血流显像(CDFI)特征。结果:二维图像上均呈特征性改变;CDFI示子宫肌瘤周边血流丰富,动脉血流阻力指数RI为0.56±0.18,子宫腺肌瘤周边血流信号稀少,RI为0.76±0.06;经阴道超声诊断子宫肌瘤、腺肌瘤符合率分别为:95.8%、94.6%。结论:经阴道彩色多普勒超声为子宫肌瘤、子宫腺肌瘤的鉴别诊断提供有价值信息。
Objective: To investigate the clinical value of transvaginal two-dimensional and color Doppler in the diagnosis of uterine fibroids and adenomyomas. Methods: From July 2009 to July 2011 in our hospital, 127 cases of uterine leiomyoma and adenomyoma were confirmed by operation and pathology. The features of two dimensional and color Doppler flow imaging (CDFI) were analyzed by transvaginal sonography. Results: The two-dimensional images showed characteristic changes. CDFI showed abundant peripheral blood flow in uterine leiomyoma with RI of 0.56 ± 0.18, peripheral blood flow signal of splenic adenomyosis was scarce, RI was 0.76 ± 0.06; Vaginal ultrasound diagnosis of uterine fibroids, adenomyosis coincidence rates were: 95.8%, 94.6%. Conclusion: Transvaginal color Doppler ultrasonography provides valuable information for the differential diagnosis of uterine fibroids and adenomyomas.