经腹妇产科手术后腹壁切口处子宫内膜异位症的超声表现及诊断价值
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摘要
目的研究经腹妇产科手术后腹壁切口处子宫内膜异位症的超声表现及诊断价值。方法选择收治于中山市南区医院2016年10月-2017年10月的妇产科手术后腹壁切口处子宫内膜异位症患者20例,分析其超声表现及诊断价值。结果超声检查准确率达到95. 00%,20例患者中腹壁切口共检查到20个肿块,超声表现为肿块形态不规则,不均质低回声,部分边界清晰或不清晰,无包膜回声,呈毛刺状生长。15例肿块内部无血流信号,5例出现少许血流信号,周边显示点状血流信号。结论通过对妇产科手术后腹壁切口处子宫内膜异位症患者,实施超声检查,并结合患者病史能够明确进行诊断,对临床病灶的清除具有重要意义,且诊断过程中患者无创伤,操作较为简单,可重复进行,优势较为明显,可作为患者首选。
Objective To study the ultrasonographic findings and diagnostic value of abdominal wall incision endometriosis after abdominal gynecologic surgery. Methods Ultrasonographic features and diagnostic value of 20 patients with e abdominal wall incision endometriosis after gynecologic and obstetric surgery treated in our hospital in October 2016 to October 2017 were analyzed. Results The accuracy of ultrasonic examination was 95%. A total of 20 masses were found in the middle abdominal incision of 20 patients. The ultrasound of these masses showed irregular mass,inhomogeneous hypoechoic,clear or unclear boundary,without envelope echo and burr like growth. There were no blood flow signals in 15 cases of masses,5 cases of masses had a little blood flow signal and peripheral blood flow signals. Conclusion The diagnosis of endometriosis in the incision of abdominal wall after gynecology and obstetrics operation can be made clearly by ultrasonic examination and combining with the history of the patient. It is of great significance to clarify the clinical focus,and in the process of diagnosis,the patient is noninvasive,the operation is simple,and the examination can be repeated. The advantages of the examination are more obvious. It is the first choice for the patients.
Objective To study the ultrasonographic findings and diagnostic value of abdominal wall incision endometriosis after abdominal gynecologic surgery. Methods Ultrasonographic features and diagnostic value of 20 patients with e abdominal wall incision endometriosis after gynecologic and obstetric surgery treated in our hospital in October 2016 to October 2017 were analyzed. Results The accuracy of ultrasonic examination was 95%. A total of 20 masses were found in the middle abdominal incision of 20 patients. The ultrasound of these masses showed irregular mass,inhomogeneous hypoechoic,clear or unclear boundary,without envelope echo and burr like growth. There were no blood flow signals in 15 cases of masses,5 cases of masses had a little blood flow signal and peripheral blood flow signals. Conclusion The diagnosis of endometriosis in the incision of abdominal wall after gynecology and obstetrics operation can be made clearly by ultrasonic examination and combining with the history of the patient. It is of great significance to clarify the clinical focus,and in the process of diagnosis,the patient is noninvasive,the operation is simple,and the examination can be repeated. The advantages of the examination are more obvious. It is the first choice for the patients.
引文
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[6]单江静,郑媛媛,卢琪芸,等.腹腔镜子宫内膜异位症卵巢囊肿剥除术中不同止血方法对卵巢功能影响[J].中华内分泌外科杂志,2016,10(2):170-173,177.
[7]彭红艳,余松远,贺飞,等.超声造影评价微波消融治疗腹壁子宫内膜异位症的临床应用价值[J].中国超声医学杂志,2018,34(5):473-475.
[8]赵玲,彭松,张家文,等.手术与高强度聚焦超声对腹壁瘢痕子宫内膜异位症治疗疗效初步对比研究[J].重庆医学,2016,45(28):3928-3930.
[2]尹璐,刘平,王朝,等.米非司酮治疗子宫内膜异位症患者血清FSH、LH、E2水平及相关指标值变化研究[J].中国生育健康杂志,2017,28(3):277-279.
[3]杨卓,杨飞,陈英汉,等.直肠超声内镜在直肠阴道膈子宫内膜异位症诊断中的应用[J].中国医科大学学报,2017,46(8):689-693.
[4]付赵虎,郑晓芳.剖宫产术后腹壁切口处子宫内膜异位症的超声诊断分析[J].临床超声医学杂志,2017,19(8):575-576.
[5]赵丹阳,刘新华,杨建梅,等.超声引导下穿刺注射无水乙醇联合米非司酮治疗绝经期子宫内膜异位症的疗效评价[J].中国医学物理学杂志,2015,32(2):298-300.
[6]单江静,郑媛媛,卢琪芸,等.腹腔镜子宫内膜异位症卵巢囊肿剥除术中不同止血方法对卵巢功能影响[J].中华内分泌外科杂志,2016,10(2):170-173,177.
[7]彭红艳,余松远,贺飞,等.超声造影评价微波消融治疗腹壁子宫内膜异位症的临床应用价值[J].中国超声医学杂志,2018,34(5):473-475.
[8]赵玲,彭松,张家文,等.手术与高强度聚焦超声对腹壁瘢痕子宫内膜异位症治疗疗效初步对比研究[J].重庆医学,2016,45(28):3928-3930.