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目的:探讨不同回声特征的子宫肌瘤的病理基础。方法:对122例子宫肌瘤行B超检查后手术切除子宫,并进行病理检查。根据其超声回声特征分为4型,即高回声型、低回声型、等回声型及混合回声型。据其病理特征分4类:一般病理改变类、透明变性类、丰富细胞类及液化坏死类。结果:高回声型中一般病理改变类占83％;低回声型中透明变性类占69％;等回声型其病理类型无特别;混合回声型均为液化坏死类。结论:子宫肌瘤的不同回声特征有其不同的病理改变。
Objective: To investigate the pathological basis of uterine fibroids with different echo characteristics. Methods: A total of 122 cases of uterine fibroids underwent surgical resection of the uterus after biopsy and pathological examination. According to its characteristics of ultrasonic echo is divided into 4 types, namely, high echo type, low echo type, such as echo-type and hybrid echo type. According to its pathological features divided into four categories: general pathological changes, transparent degeneration, rich cells and liquefied necrosis. Results: The general pathological changes in high echo type accounted for 83%; hypoechoic transparent degeneration accounted for 69%; the other echo type of pathological type no special; mixed echo type are liquefied necrosis. Conclusion: Different echogenic features of uterine fibroids have different pathological changes.