| 杨萌,姜玉新,戴晴,李建初.静脉内平滑肌瘤病超声误诊分析[J].中国医学影像技术,2009,25(12):2261~2263 |
| 静脉内平滑肌瘤病超声误诊分析 |
| Analysis of ultrasonographic misdiagnosis of intravenous leiomyomatosis |
| 投稿时间：2009-06-23 修订日期：2009-08-24 |
| DOI： |
| 中文关键词: 子宫 静脉内平滑肌瘤病 超声检查,多普勒,彩色 |
| 英文关键词:Uterus Intravenous leiomyomatosis Ultrasonography, Doppler, color |
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| 中文摘要: |
| 目的 观察静脉内平滑肌瘤病(IVL)的超声声像图特点。方法 分析7例IVL患者的超声声像图特点,与组织学特征和临床发病特点对照,分析超声误诊原因。结果 7例IVL患者中位年龄40岁,5例患者曾接受子宫全切手术,平均复发间期13.8个月。7例IVL伴血管内生长,3例延伸至右心房,3例蔓延至下腔静脉,1例局限于盆腔静脉内。7例IVL声像图特征:子宫实性病灶伴血管内病变;子宫切除术后盆腔实性占位伴血管内病变;子宫切除术后盆腔、腹部大血管及心腔内占位病变。主要误诊原因:声像图特征与子宫肌瘤相似,难以鉴别;IVL发病率低,认识不足;影像学检查难以发现早期血管内病灶。结论 超声对IVL有较好的临床应用价值,是IVL术后随访的首选影像学方式,检查时应该特别注意病灶与静脉的关系。 |
| 英文摘要: |
| Objective To observe the ultrasonographic features of intravenous leiomyomatosis (IVL). Methods Ultrasonographic features, pathological results and the clinical manifestations of 7 patients with IVLs were analyzed retrospectively, and the causes of misdiagnosis were discussed as well. Results The median age of 7 IVL patients was 40 years old. Five patients underwent previously hysterectomy due to probable diagnosis of leiomyoma with the mean recurrent time of 13.8 months. Three lesions extended into the right atrium, 3 involved the inferior venous cava and 1 was confined in the pelvis venous. Ultrasonographic findings of IVL included uterine solid lesions with intravascular disease, solid occupied lesions in the pelvis with intravascular disease after hysterectomy, solid occupied lesions in the pelvis, large abdominal vessels and cardiac chambes with intravascular disease after hysterectomy. The main misdiagnosis cause was that IVL had similar ultrasonographic features with hysteromyoma, and intravascular lesions of IVL was hard to detect in the early stage. Conclusion Color Doppler ultrasonography is a valuable imaging mortality for detection and follow-up of IVL. |
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