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目的:探讨宫腔声学造影检测子宫腺肌病病变范围及与在位内膜间的关系。方法:对45例子宫腺肌病患者常规超声检查后行双氧水宫腔造影,结合手术中探查及病理检查,比较宫腔造影病变性质与手术中子宫腺肌病病灶范围。结果:①子宫腺肌病弥漫型造影阳性率较局限型高(P<0.01);②在位内膜与异位组织相连者造影阳性率较不连者高(P<0.01);③痛经腺肌病患者造影阳性率较无痛经患者高(P<0.01)。结论:可以用宫腔造影的方法了解子宫腺肌病病变范围及与子宫在位内膜的关系,为研究子宫腺肌病的发病机制及制定手术方案提供理论依据。
Objective: To investigate the relationship between intrauterine acinar examination of adenomyosis and eutopic endometrium. Methods: Forty-five patients with adenomyosis were examined by routine ultrasound examination and combined with intraoperative exploration and pathological examination to compare the characteristics of intrauterine lesions and the scope of adenomyosis during surgery. Results: (1) The positive rate of diffuse angiography in adenomyosis was higher than that in localized type (P <0.01); ② The positive rate of angiography in eutopic endometrium and ectopic tissue was higher than that in non-existent group (P <0.01) The positive rate of contrast-enhanced myopathy in patients with dysmenorrhea was higher (P <0.01). Conclusions: The relationship between the scope of adenomyosis and the eutopic endometrium in uterine adenomyosis can be understood by the method of uterine angiography, which provides a theoretical basis for studying the pathogenesis of adenomyosis and developing the surgical plan.