可靠临床并且在剖腹产附近的腹的墙子宫内膜增生的诊断的 sonographic 调查结果结疤

• 作者: Giampiero Francica
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: CESAREAN section SCAR ENDOMETRIOMA Ultrasound
• 年，卷（期）: 2012,（4）
• 页码范围: 135-140
• 页数: 6页
• 分类号: R711.71

摘要

AIM:To highlight sonographic and clinical characteristics of scar endometrioma with special emphasis on size-related features.METHODS:Thirty women(mean age 30.6 years,range 20-42 years)with 33 scar endometriomas(mean diameter 27.1 mm,range 7-60 mm)were consecutively studied by Sonography and Color Doppler examination prior to surgery.Pathological examination was available in all cases.RESULTS:The most frequent(24 of 33 nodules,74%) sonographic B-mode aspect of endometrioma was that of an inhomogenously hypoechoic roundish nodule with fibrotic changes(in the form of hyperechoic spots or strands),a peripheral inflammatory hyperechoic ring,spiculated margins and a single vascular pedicle entering the mass at the periphery.On average,1.6 cesarean sections were recorded per patient(range 1-3).The median interval between the last cesarean section and admission to hospital was 36 mo(range 12-120 mo) and the median duration of symptoms before admission was 25.7 mo(range 0.5-80 mo).13 patients had 13 large endometriomas(≥30 mm)with a mean lesion diameter of 41.3±9.02 mm(range 30-60 mm).Seventeen women had 20 small endometriomas with a mean lesion size of 18.2±5.17 mm(range 7-26 mm).The mean interval between the last cesarean section and admission to hospital(66.0 mo vs 39.6 mo,P【0.01) and the mean duration of symptoms before admission(43.0 mo vs 17.4 mo,P【0.01)were significantly longer in patients with large endometriomas;in addition,a statistically significant higher percentage of patients with large implants had undergone previous inconclusive diagnostic examinations,including either computed tomography/magnetic resonance imaging/fine needle biopsy/laparoscopy(38.4%vs 0%,P【0.05).On sonography,large endometriomas showed frequent cystic portions and fistulous tracts(P【0.02),loss of round/oval shape(P【0.04)along with increased vascularity(P 【0.04).CONCLUSION:Endometrioma near cesarean section scar is an often neglected disease,but knowledge of its clinical and sonographic findings may prevent a delay