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目的:探讨经阴道彩色多普勒超声(TVCDS)在诊断带蒂子宫黏膜下肌瘤的临床意义。方法:回顾性分析32例带蒂子宫黏膜下肌瘤手术病例的超声表现。结果:带蒂黏膜下肌瘤在TVCDS的影像表现多为位于宫腔下段或宫颈管内类圆形或圆形肿块,内部为均匀或不均匀的低回声,可见一“I”字形强回声蒂,长短不一,其上端常连接于宫腔中上段内膜基底层,该处内膜连续性中断,下端与瘤体部分相连,瘤体可以观察到由蒂下行的低速血流信号。结论:TVCDS对带蒂子宫,黏膜下肌瘤有比较高的临床诊断价值。
Objective: To investigate the clinical significance of transvaginal color Doppler ultrasound (TVCDS) in the diagnosis of submucosal fibroids of pedunculated uterus. Methods: The ultrasound findings of 32 cases of pedunculated uterine fibroids were retrospectively analyzed. Results: The pediatric submucosal fibroids in TVCDS mostly in the lower part of the uterine cavity or cervical tube round or round mass, the internal uniform or uneven hypoechoic, showing a “I ” shaped strong echo Pedicle, different lengths, often connected to the upper end of the uterine invaginal basal lamina, where the continuity of the endocardial disruption, the lower part of the tumor connected to the tumor can be observed by the pedicle of the low-speed blood flow signal. Conclusion: TVCDS has high clinical diagnostic value for pedunculated uterus and submucous myoma.