剖宫产后子宫峡部纱布瘤超声特征55例分析

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摘要目的：剖宫产术中应用可吸收止血纱布后，纱布未完全吸收形成子宫峡部纱布瘤，探讨其声像图表现，提高超声诊断准确率。方法：收集2011年7月—2016年7月超声发现子宫前壁下段前方包块，且术后病理证实为子宫峡部纱布瘤的患者55例，总结其超声声像图表现特征。结果：55例超声均发现子宫前壁下段前方包块，40（72.7%）例表现为低回声，15（27.3%）例表现为混合性回声，50（90.9%）例包块内可见线状或斑片状高回声，彩色多普勒超声未探及明显血流信号50例（90.9%），于包块周边探及少许血流信号5例（9.1%）。结论：剖宫产术中应用可吸收止血纱布所致纱布瘤，超声可表现为低回声或混合性回声，其中线状高回声为典型超声表现特征，结合手术史，超声医师能够得出正确诊断。

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	李小花
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	王婷
	王少春

关键词 ：子宫肿瘤, 超声检查

Abstract：Objective: To investigate the ultrasound characteristics and improve the ultrasound diagnosis of gossypiboma of the uterine isthmus caused by uncomplete absorption of the gauze after applying absorbable hemostatic gauze in cesarean section. Methods: From July 2011 to July 2016, 55 patients with masses in front of the lower segment of the uterus by ultrasound as well as results of gossypibomas by histopathology were enrolled in the study, whose sonographic features were reviewed retrospectively. Results: Sonography showed the lesion in the adjacent front of the anterior wall of the uterus in 55 patients. Forty(72.7%) masses appeared low echo, 15(27.3%) masses appeared mixed echo. Fifty(90.9%) appeared with threadlike or small patchy echogenic area. Color Doppler flow image showed no obvious blood flow in 50 cases(90.9%), but with minimal blood flow on the peripheral of the mass in 5 cases(9.1%). Conclusions: Gossypiboma related to absorbable hemostatic gauze after cesarean section may appear low or mixed echo by ultrasound. Threadlike echogenic area is typical ultrasonic feature. The radiologist may be alerted to the correct diagnosis combining with the surgical records.

Key words： Uterine neoplasms Ultrasonography

收稿日期: 2017-03-02

PACS:	Ｒ737.33
	Ｒ445.1

通讯作者: 李小花，济宁医学院附属医院超声科，272000。E-mail：happybaby011216@qq.com

作者简介: 李小花（1982-），女，山东临清人，主治医师。E-mail：happybaby011216@qq.com

引用本文:

李小花，范东晨，刘阿庆，郭静，王婷，王少春. 剖宫产后子宫峡部纱布瘤超声特征55例分析[J]. 中国临床医学影像杂志, 2017, 28(12): 881-884.
LI Xiao-hua, FAN Dong-chen, LIU A-qing, GUO Jing, WANG Ting, WANG Shao-chun. Analysis on the sonographic characteristics of gossypiboma of the uterine isthmus after caesarean section in 55 patients. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(12): 881-884.

链接本文:

http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2017/V28/I12/881

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