摘要
目的分析腹壁子宫内膜异位症(AWE)的超声影像特征和临床特点。方法纳入研究对象来自我院自2017年2月至2019年2月收治的AWE患者80例,均进行超声诊断,根据病灶的大小进行分组,分为<3 mm组(39例)与≥3 mm组(41例),对比≥3 cm组和<3 cm组患者的超声回声情况、超声影像特征(血流信号、病灶深度、外形、钙化以及纵横比)。结果两组患者回声情况、回声均匀情况、内部回声情况比较,差异无统计学意义,P>0.05。<3 mm组患者病灶直径明显短于≥3 mm组,差异有统计学意义,P<0.05。两组患者强回声情况比较,差异有统计学意义,P<0.05。两组患者钙化、纵横比情况比较,差异无统计学意义,P>0.05。两组患者血流信号、病灶深度、外形情况比较,差异有统计学意义,P<0.05。结论AWE患者进行超声诊断,可帮助临床医师详细了解病灶侵入肌层深浅、范围、大小以及数目等,为AWE及早治疗提供一定的科学依据。
Objective To analyze the ultrasound imaging features and clinical features of abdominal wall endometriosis(AWE).Methods 80 cases of AWE patients admitted to our hospital from February 2017 to February 2019 were enrolled in the study.They were all diagnosed by ultrasound.According to the size of the lesions,they were divided into two groups:the group of<3 mm(39 cases)and the group of≥3 mm(41 cases).The ultrasound echo situation and ultrasound imaging features(blood flow signal,depth and shape of lesions,calcification and aspect ratio)of patients in the group of<3 mm and the group of≥3 mm were compared.Results There was no significant difference in echo,echo uniformity and internal echo between the two groups(P>0.05).The diameter of lesions in the group of<3 mm was significantly lower than that in the group of≥3 mm,and the difference was statistically significant(P<0.05).There was a statistically significant difference between the two groups of patients with strong echo(P<0.05).There was no significant difference in calcification and aspect ratio between the two groups(P>0.05).There were statistically significant differences in blood flow signal,depth and shape of lesion between the two groups(P<0.05).Conclusion Ultrasound diagnosis of AWE patients can help clinicians to understand the depth of invading muscle layer,extent,size and number of lesions in detail,and provide certain scientific basis for early treatment of AWE.
作者
刘阳
LIU Yang(Department of Color Dolce Room,Haicheng Central Hospital,Haicheng 114200,China)
出处
《中国医药指南》
2020年第25期81-82,共2页
Guide of China Medicine
关键词
腹壁子宫内膜异位症
超声
影像特征
回声情况
临床特点
Abdominal wall endometriosis
Ultrasound
Imaging features
Echo status
Clinical features