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1994～1996年,我们收治29例在外院或计生服务站诊断为子宫肌瘤患者,经B超检查均排除之。其中15例纵切时子宫为极度后倾后屈位,大小正常,表面光滑,横切时子宫底部见一直径2.0～2.5cm大强回声光团,周边界限清晰;11例子宫位于骨盆右后方,子宫颈朝向左前方,B超横切或斜切时在子宫左侧角部可探及直径同样大小的强回声光团;其余3例子宫位于左后方,子宫颈朝向右前方,B超横切、斜切时于子宫右侧角见同样大小的强回声。29例的B超表现均酷似子宫肌瘤。 讨论:子宫肌瘤可导致子宫不同程度的增大或发生形态学改变,其B超声像图特点为漩涡状强回声结节、漩涡状低回声或低回声结节及混合性回声。由于子宫肌瘤的生长方向及部位不同,故B超图像可分辨出浆膜下、粘膜下、壁间肌瘤及子宫体部、峡部、颈部肌瘤。本组子宫大小、形态均正常,只
From 1994 to 1996, we treated 29 patients diagnosed as uterine fibroids outside the hospital or family planning service station and were excluded by B-ultrasound. Among 15 cases, the uterus was extremely lean and posterior flexion. The size was normal and the surface was smooth. When the transverse transection, a large strong echo group with a diameter of 2.0 ~ 2.5cm was seen at the bottom of the uterus. The peripheral margin was clear. Rear, the cervix toward the left front, B-transversal or beveled at the left corner of the uterus can be detected and the same size of the strong echo light mass; the remaining three cases of the uterus in the left rear, the cervix toward the right front, B Transverse cut, beveled at the right corner of the womb to see the same size of the strong echo. 29 cases of B-like performance are similar to uterine fibroids. Discussion: Uterine fibroids can lead to varying degrees of uterine enlargement or morphological changes, the B ultrasound features of echogenic nodules swirling, hypoechoic hypoechoic or hypoechoic nodules and mixed echo. As the growth of uterine fibroids and different parts of the direction, so the B-image can be sub-submucosal, submucosal, intramural fibroids and uterine body, isthmus, neck fibroids. This group of uterine size, shape are normal, only