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目的:探讨彩色多普勒超声对剖宫产术后腹壁子宫内膜异位症的诊断价值。方法:对35例剖宫产术后腹壁肿块来我院就诊的并经手术及病理诊断为腹壁子宫内膜异位症的彩色多普勒超声结果进行回顾性分析。结果:35例腹壁肿块患者中28例位于腹壁皮下脂肪层内,7例位于腹直肌鞘内,呈不规则、无明显包膜的实性低回声,彩色多普勒显示肿块内部可见点状和/或条状血流信号,为低速高阻的动脉血流,且患者均有剖宫产史及逐渐加重的周期性下腹疼痛。结论:彩色多普勒超声检查与临床资料结合,是诊断和鉴别诊断剖宫产术后腹壁子宫内膜异位症十分有价值的方法,能为临床提供有价值的影像学信息,值得临床推广应用。
Objective: To investigate the diagnostic value of color Doppler ultrasound in abdominal wall endometriosis after cesarean section. Methods: 35 cases of cesarean section after abdominal mass to our hospital for diagnosis and pathological diagnosis of abdominal wall endometriosis color Doppler ultrasound results were retrospectively analyzed. Results: Twenty-eight of the 35 patients with abdominal mass were located in the subcutaneous fat layer of the abdominal wall, and 7 were located in the rectus sheath, with irregular hypoechoic echoes. The color Doppler showed dot-like appearance And / or strip blood flow signal, low velocity and high resistance of the arterial blood flow, and patients have a history of cesarean section and gradual worsening of abdominal pain. Conclusion: Color Doppler ultrasonography combined with clinical data is a valuable method for the diagnosis and differential diagnosis of abdominal wall endometriosis after cesarean section, which can provide valuable imaging information for clinic and is worthy of clinical promotion application.