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目的回顾性分析腹壁子宫内膜异位症患者的超声影像特征和临床特点。方法选择我院2013年1月至2015年12月收治的117例子宫内膜异位症患者,117个病灶作为研究对象,将病灶按最大直径分为<3cm组和≥3cm组,分析每个病灶的超声表现和每位患者的临床特点,将结果进行统计学分析。结果≥3cm组强回声较为少见,病灶外形多为不规则,深度多位于筋膜或腹壁全层,边界不清晰,血流信号丰富更为常见;<3cm组病灶外形也是不规则和边界不清晰偏多,但是不规则率和边界不清晰率显著低于≥3cm组,浸润深度多位于皮下脂肪组织,血流信号多为少量或者无。结论超声能够了解到病灶数目、大小、范围及侵入肌层深浅等情况,能为腹壁子宫内膜异位症的临床病情分析及治疗提供重要依据。
Objective To retrospectively analyze the ultrasonographic features and clinical features of patients with abdominal wall endometriosis. Methods A total of 117 patients with endometriosis who were treated in our hospital from January 2013 to December 2015 were enrolled in this study. 117 patients were divided into 3cm group and 3cm group according to the maximum diameter. The ultrasound findings of the lesions and the clinical features of each patient were statistically analyzed. Results ≥3cm group of strong echoes are rare, most of the irregular shape of the lesion, the depth of more than in the fascia or the full thickness of the abdominal wall, the border is not clear, the blood flow signal rich more common; <3cm group lesions are irregular and the border is not clear However, the irregularity rate and unclear boundary were significantly lower than ≥3 cm group. The depth of infiltration was mostly located in subcutaneous adipose tissue, with little or no blood flow signal. Conclusion Ultrasound can understand the number of lesions, size, extent and depth of invasion of muscular layer, etc., which can provide an important basis for clinical analysis and treatment of abdominal wall endometriosis.