彩超诊断腹壁子宫内膜异位症的临床价值

目的：评价彩色多普勒超声在诊断腹壁子宫内膜异位症上的临床应用价值。方法：回顾分析25例经手术病理和腹壁结节穿刺活检确诊的腹壁子宫内膜异位症病人的二维声像图及彩色多普勒超声表现。结果：25例病例除1例外均在腹壁各层发现结节或肿块，深者达腹腔网膜；其中1例结节位于切口上方约20mm，肿块大小在9—51mm，形态不规则，边缘呈毛刺样或伪足样，内为不均质低回声，经期出现蜂窝状结构，大多后方伴有衰减，彩色多普勒显示有19例病例结节周边或内部有散在的点状和短条状血流信号，动脉频谱呈低速高阻改变。其中有5例病例合并有卵巢子宫内膜异位囊肿。结论：彩色多普勒超声检查腹壁子宫内膜异位症有特征性改变，结合病史、临床表现对于诊断该病有重要的临床应用价值，并可对临床治愈病灶提供帮助。

Clinical value of the color Doppler in diagnosing of the abdominal wall endometriosis

Objective： Analysis two-dimensional ultrasonography and the performance of color Doppler ultrasound from 25 patients who were diagnosed abdominal wall endometriosis by operation and abdominal wall nodules puncture.Methods： 24 patients were found nodules or swellings in different layers of abdominal wall. Results：Tim deepest nodules can reach the intraperitoneal omentum. One of the nodules from the patient about 20 mm from the top of the cat, the size of the swelling between 9 - 51 ram, it is irregular, and burr-like edges or pseudopodium-like, there are not homogeneous echo inside, honeycomb-like structure appears in menstrual period, most of them has attenuation. According to the showing of color Doppler ultrasound, there are spotted or short strips biood-leaving signals beyond or inside the nodules in 19 cases, artery spectrum showed high resistance to low speed. There is ovarian endometrioma in five cases. Conclusion：Color Doppler ultrasound can find out if the symptom of abdominal wall endometriosis has had the characteristic changes, it has very important clinical value to diagnose this disease by combining the history and clinical manifestations, it can also help cure the clinical lesions.