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子宫肌瘤是由于子宫平滑肌组织增生的良性肿瘤。为女性生殖器官中最常见的一种肿瘤,好发于中年妇女,常见年龄为35～50岁。本文报道应用日本Aloka SSD—630型、MEDISON SONOACE 5000型实时超声诊断仪,探头频率为3.5MHz、5MHz诊断我院住院病人50例(年龄35～55岁),并与术后病理结果对比分析。旨在探讨B超对子宫肌瘤变性的诊断价值。结果表明,超声与病理符合率为98％。提示超声与病理有密切关系。 病例1:女40岁,2年前自觉下腹有一鸭蛋大包块,外院B超及妇科检查均为“子宫肌瘤”,因无不适,未予重视。近半年来,因包块增长迅速,自感下蹲时呼吸较困难,伴下肢轻度浮肿,当地CT检查提示腹盆腔巨大实性占位,故来我院就诊。体查:腹部极度膨隆,如足月妊娠,两下肢浮肿,子宫、附件、包块触诊不满意。
Uterine fibroids are benign tumors of the uterine smooth muscle tissue. Female genital mutilation is the most common type of tumor, occurs in middle-aged women, the common age of 35 to 50 years old. This article reports the application of Japanese Aloka SSD-630, MEDISON SONOACE 5000 real-time ultrasonic diagnostic apparatus, probe frequency of 3.5MHz, 5MHz diagnosis of inpatients in our hospital 50 patients (aged 35 to 55 years), and postoperative pathological results were analyzed. To explore the B ultrasound diagnosis of uterine fibroids degeneration. The results show that the coincidence rate of ultrasound and pathology was 98%. Tip ultrasound and pathology are closely related. Case 1: Female 40 years old, 2 years ago consciously have a duck under the abdomen mass, outside the hospital B and gynecological examination are “uterine fibroids,” because no discomfort, no attention. The past six months, due to the rapid growth of mass, squat when breathe more difficult, with mild swelling of the lower extremities, the local CT examination prompted a huge abdominal pelvic solid, it came to our hospital. Physical examination: extreme bulging abdomen, such as full-term pregnancy, lower extremity edema, uterus, annex, mass palpation are not satisfied.