摘要：目的：总结超声检查在子宫腺肌病及腺肌瘤的诊断价值。方法：采用西门子Acuson Sequoia 512型及ATL Apogee 800型彩色多普勒诊断仪。探头频率2.0～4.0MHz及2.0～5.0MHz。 2001年6月至2003年12月，我们对98例有痛经等症状患者及“子宫肌瘤”患者进行重点筛查。临床表现包括痛经，月经量增多，经期延长，月经紊乱，原发或继发不孕等。结果：超声诊断，子宫腺肌症、腺肌瘤81例。合并有盆腔内膜异位症者18例，选择手术治疗者55例，术后经病理证实者45例，误诊率18.2%。患者选择保守治疗26例，经药物治疗后症状减轻、缓解或盆腔包块缩小者18例，有效率达69%。结论：超声显像是目前诊断子宫腺肌病、腺肌瘤的主要方法之一。因无创及可重复性强的特点，应作为疑有子宫腺肌病、腺肌瘤的常规检查项目[1]。

    关键词：子宫腺肌病及腺肌瘤；痛经；超声显像

    Value of Color Doppler Ultrasound Diagnose Adenomyosis and Adenomyoma

    CHEN Xu-xu,LIN Li-shan,HUANG Song-qiao,et al

    (Puning Overseas Chinese Hospital, Guangdong Puning 515300 ,China)

    Abstract：Objective： To investigate the value of color doppler ultrasound in diagnosing adenomyosis and adenomyoma. Methods： Diagnosis was performed by using Simens Acuson Sequoia 512 and ATL Apogea 800 color doppler flow imaging ( CDFI ) ultrasonography with the probe's frequency of 2.0～4.0 MHz and 2.0～5.0 MHz. From June, 2001 to December, 2003, 98 cases of patients with symptoms, for instance, dysmenorrheal and patients with uterine myomata were spot-checked. The clinical symptoms include dysmenorrhea, excessive menstruation, delayed menstruation, menses disturbance, primary of secondary sterility, etc. Results： 81 cases of patients with adenomyosis or adenomyoma were diagnosed by color doppler ultrasound. 18 cases were complicated with pelvic ectopic endometrium. 55 cases of patients accepted operation. 45 cases of patients were proved by pathology after therapy, and the misdiagnosis rate accounts for 18.2%. 26 patients chose conservative treatment, among whom 18 patients' symptoms palliated, alleviated or pelvic lump shrank after medical treatment. The effective rate accounts for 69%. Conclusion： Ultrasound imaging is at present one of the main means for the diagnosis of adenomyosis and adenomyoma. Owing to its non-trauma and repeatability, color doppler ultrasound should be used for routine detection program of suspicious of adenomyosis and adenomyoma. ......