目的 :根据对 46例患者 5 4个瘤体经腹及经阴道途径的扫查结果 ,本文探讨了彩色多普勒能量显像检测子宫肌瘤内血流的应用价值。方法 :对 46例患者 5 4个瘤体经腹壁及经阴道途径联合扫查。结果 :经腹壁扫查时 ,40 .7%的 CDFI显示内部或周边有血流信号 ,74.1%的 CDE显示瘤体内部或周边有血流信号。经阴道扫查时 ,81.5 %的 CDFI显示有血流信号 ,90 . 7%的 CDE有血流信号。结论 :经阴道途径较经腹壁途径灵敏度更高。但由于阴道探头频率较高 ,对较大的瘤体 ,二维图象显示较困难 ,工作中 ,应联合应用经腹和经阴道二种途径 OBJECTIVE: Based on the transabdominal and transvaginal scanning of 46 tumors in 46 patients, this study explored the value of color Doppler flow imaging in the detection of blood flow in uterine fibroids. Methods: Fifty-four of 46 patients were examined by abdominal wall and transvaginal approach. Results: Forty-seven percent of CDFIs showed blood flow signals inside or around the abdomen, and 74.1% of CDE showed blood flow signals inside or around the tumor. During transvaginal examination, 81.5% of CDFI showed a blood flow signal and 90.7% of CDE had a blood flow signal. Conclusion: The transvaginal approach is more sensitive than the transabdominal approach. However, due to the high frequency of vaginal probe, the larger the tumor, two-dimensional image display more difficult, work, should be combined with transabdominal and vaginal two ways