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目的探讨彩色多普勒超声对腹壁切口子宫内膜异位症的诊断价值。方法对14例经手术和病理证实的腹壁切口子宫内膜异位症的声像图进行回顾性分析。结果 14例患者18个肿块位于皮下脂肪层7个,肌层9个,肌层与壁层腹膜之间2个。声像图显示肿块形态欠规则,边缘不光滑,呈毛刺样,无包膜,内为不均质低回声,肿块后方回声轻度增强或衰减,内部及周边可见点状或条状血流信号,为低速高阻的动脉血流。结论彩色多普勒超声检查与临床资料结合,对腹壁切口子宫内膜异位症的诊断及鉴别诊断具有重要价值。
Objective To investigate the diagnostic value of color Doppler ultrasound in the treatment of abdominal incision endometriosis. Methods 14 cases of surgically and pathologically confirmed abdominal incision endometriosis were retrospectively analyzed. Results Eighteen tumors in 14 patients were located in 7 subcutaneous fat layers, 9 in the muscular layer and 2 in the peritoneum between the muscular layer and the parietal layer. The sonogram showed that the shape of the tumor was undefined, the edge was not smooth, it was burr-like and had no capsule. The internal echo was heterogeneous, the echo of the rear of the tumor slightly enhanced or attenuated, and the punctate or stripe blood flow signal was visible inside and around , Low velocity and high resistance of the arterial blood flow. Conclusion The combination of color Doppler ultrasonography and clinical data is of great value in the diagnosis and differential diagnosis of abdominal wall incision endometriosis.