【作者】 庞厚清； 杨太珠； 郭文琪；

【Author】 PANG Houqing YANG Taizhu GUO Wenqi (The Ultrasound Department of Huaxi Second Hospital of Sichuan University, ChengDu SiChuan 610041

【机构】 四川大学华西第二医院超声科；

【摘要】 目的探讨残角子宫合并子宫内膜异位症的超声特征.方法回顾分析我院收治的残角子宫合并子宫内膜异位症的超声表现、手术所见及病理诊断.结果6例病例术前诊断正确2例。1例误诊为子宫肌瘤,1例误诊为子宫腺肌病,2例误诊为双子宫。超声主要表现正常子宫旁见子宫体样结构,无宫颈,内可有内膜回声, 多数与对侧子宫内膜不相通,可呈子宫腺肌病改变,宫腔内有积血,同侧附件区有子宫内膜异位囊肿.结论 B 超诊断残角子宫合并子宫内膜异位症准确性低,应结合宫腔镜、腹腔镜检查提高诊断准确率.更多还原

【Abstract】 Objective To investigate the ultrasound echo of the rudimentary uterine horn complicated by endometriosis.Methods To retrospectively analyze the clinical,pathologic and ultrasound data of 6 cases.Results Only two of them were correctly diagnosed by ultrosonograpy.One case was diagnosed as myoma of uterus.One case was diagnosed as adenomyosis.Two cases were diagnosed as uterus didelphus.Conclusion To diagnose these cases only by ultrosonograpy is difficuit.Ultrasonography combined with hysteroscopy can improve diagnosis of the rudimentary uterine horn complicated by endometriosis.更多还原