中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

子宫腺肌病的超声诊断及进展

  

  1. 1.中国医学科学院 北京协和医学院 北京协和医院超声医学科，北京 100730；2.中日友好医院超声科，北京 100029
  • 出版日期:2019-05-02 发布日期:2019-05-10
  • 通讯作者: 戴晴

Ultrasound diagnosis and progress of adenomyosis.

  1. Department of Ultrasound，Peking Union Medical College Hospital，Peking Union Medical College and Chinese Academy of Medical Science，Beijing 100730，China
  • Online:2019-05-02 Published:2019-05-10

摘要：

经阴道超声是诊断子宫腺肌病首选的影像学检查方法，子宫腺肌病的超声特征与其组织病理学的表现密切相关。其主要超声特征包括：子宫球形增大、前后壁不对称增厚、肌层回声不均、子宫内膜下的线性条纹或岛状结节、内膜-肌层分界不清、子宫结合带（junction zone，JZ）增厚、不规则或中断、栅栏样声影、子宫肌层内小囊肿、彩色多普勒超声显示子宫肌层受累区域的血流信号增加、血流走行为穿入血流方式等。先进的超声技术，如电影剪辑和三维超声等，都可以补充常规超声的不足，提高超声对子宫腺肌病的诊断效力。

关键词: 子宫腺肌病, 超声特征, 三维超声

Abstract:

Transvaginal ultrasound is the preferred imaging method for the diagnosis of adenomyosis.The ultrasonographic features of adenomyosis are closely related to its histopathological features.The main sonographic features include spherical enlargement of uterus，asymmetric thickening of anterior and posterior walls，uneven echo of myometrium，linear streaks or island nodules under endometrium，unclear demarcation of endometrium-myometrium，thickening，irregular or interrupted junction zone （JZ），fence-like shadow，intramyometrial cysts，CDFI showing increased blood flow signals in the affected area of myometrium，translesional vascularity and so on.Advanced ultrasound technology，such as cline clips and three-dimensional ultrasound，can complement the shortcomings of conventional ultrasound and improve the diagnostic efficacy of ultrasound for adenomyosis.

Key words: adenomyosis, ultrasound features, three-dimensional ultrasound

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