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目的 :研究妊娠中晚期与非妊娠期子宫肌瘤患者术前超声检查 ,分析误诊、漏诊原因 ,讨论不同阶段子宫肌瘤内部回声的多样性 ,提高子宫肌瘤诊断的准确性。方法 :对比 12 4例子宫肌瘤患者术后病理诊断结果 ,分析术前超声诊断符合率。结果 :术前子宫肌瘤检出符合率 :非妊娠期为 95 .4 6 % ;妊娠中晚期为 5 2 .78%。肌瘤变性发生率 :非妊娠期为 2 3.86 % ;妊娠中晚期为 4 4 .4 4 %。结论 :非妊娠期子宫肌瘤超声诊断符合率明显高于妊娠中晚期 ,非妊娠期子宫肌瘤变性发生率明显低于妊娠中晚期
OBJECTIVE: To study the preoperative ultrasonography of uterine fibroids in the second and third trimester of pregnancy, analyze the causes of misdiagnosis and missed diagnosis, and discuss the diversity of internal echoes in different stages of uterine fibroids to improve the diagnostic accuracy of uterine fibroids. Methods: The postoperative pathological diagnosis results of 124 cases of uterine fibroids were compared, and the coincidence rate of preoperative ultrasound diagnosis was analyzed. Results: The coincidence rate of preoperative uterine fibroids was 95.66% in non-pregnancy and 52.78% in middle and late pregnancy. The incidence of myoma degeneration: non-gestation period of 2 3.86%; late pregnancy was 44.44%. Conclusion: The coincidence rate of non-pregnant uterine fibroids ultrasonic diagnosis was significantly higher than that of the middle and late pregnancy, the incidence of non-pregnant uterine fibroids was significantly lower than that in the second trimester