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子宫肌瘤是一种常见病,据有关文献报告,35岁以上的妇女中其发生率约占40%。超声显像检查可以清楚地观察子宫切面形态与结构,显示肌瘤的大小,分布和外形轮廓以及某些继发变性的改变。对子宫肌瘤的诊断符合率高,国内外报道均达90%以上,是当前诊断该病的常规首选检查方法。但由于病变发生部位、大小、多少及继发变性不同,切面图像千变万化,给病变的来源及性质的判断带来很大困难,易造成误诊。现将我院1983~1996年误诊并经手术病理证实的11例病例分析讨论如下。
Uterine fibroids is a common disease, according to the literature, the incidence of women over the age of 35 accounted for about 40%. Ultrasound imaging examination can clearly observe the morphology and structure of the uterine incision, showing the size, distribution and contour of fibroids, as well as some secondary degenerative changes. The diagnosis of uterine fibroids in line with the high rate of 90% at home and abroad have reported that the current diagnosis of the disease is the preferred method of examination. However, due to lesion location, size, number and secondary degeneration of different, ever-changing section of the image, the source of the lesions and the nature of the judge to bring great difficulties, can easily lead to misdiagnosis. Now our hospital from 1983 to 1996 misdiagnosed and confirmed by surgery and pathology of 11 cases are discussed below.