Clinical symptoms,findings and differential diagnosis value of vaginal ultrasonography in patients with adenomyosis
Objective To analyze characteristics of vaginal ultrasonography and their correlation with clinical symptoms in patients with adenomyosis.Methods A retrospective analysis was performed on the 86 patients with adenomyosis(adenomyosis group)and 86 patients with hysteromyoma(hysteromyoma group)in the hospital between January 2020 and January 2023.All patients underwent transvaginal ultrasonography to record examination results and characteristics of vaginal ultrasonography.According to average of lesions volume,patients were divided into large lesion group and small lesion group.The results of transvaginal ultrasonography between adenomyosis group and hysteromyoma group,as well as the clinical manifestations between large lesion group and small lesion group were compared.Results In terms of vaginal ultrasonography characteristics in patients with adenomyosis,direct characteristics were as follows:uterine cysts,island-like high-echo ultrasonogram in muscular layer,linear or spore-like high echoes under endometrium,while indirect characteristics were as follows:asymmetric thickening of muscles in anterior and posterior uterine walls,louver-like sound shadow,spherical uterus,penetrating vessels in lesions,irregular binding belt or interruption of binding belt echo,unclear grading of endometrium and binding belt.In patients with hysteromyoma,findings of vaginal ultrasonography included localized low-echo area,clear boundary,hypoechoic pseudocapsule and annular or semi-annular blood flow.Among the 86 patients with adenomyosis,there were 35 cases(40.70%)with hypermenorrhea,42 cases(48.84%)with menostaxis,31 cases(36.05%)with abnormal vaginal bleeding,33 cases(38.37%)with dysmenorrhea,6 cases(6.98%)with constipation and 4 cases(4.65%)with frequent urination.Among the 86 patients with adenomyosis,there were 57 cases in large lesion group and 29 cases in small lesion group.The incidence of hypermenorrhea,menostaxis and abnormal vaginal bleeding in large lesion group was higher than that in small lesion group(P<0.05).Conclusion The detection effect of transvaginal ultrasonography is good in patients with adenomyosis.Hypermenorrhea,menostaxis and abnormal vaginal bleeding have certain correlation with the development of patients'condition.Vaginal ultrasonography findings combined with clinical symptoms can be applied to diagnose the disease and provide certain guidance.
万方数据
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