What is the B-ultrasound for adenomyosis?

What ultrasound should be done for adenomyosis?

B-ultrasound examination Buli waiting for histological changes B-ultrasound is irrelevant, B-ultrasound diagnosis sensitivity is 63%, specificity is 97%. It has been reported that 73% of adenomyosis using vaginal B-ultrasound is consistent with histological diagnosis, with a sensitivity of 95% and a specificity of 74%. Abdominal B-ultrasound is similar to vaginal B-ultrasound in accuracy.

The characteristics of B-ultrasound images are as follows:

1The uterus is uniformly enlarged and has clear contours.

2The endometrial lines may remain unchanged or slightly curved.

3 The echogenicity of the uterine cross section is uneven, and sometimes echo-free areas of varying sizes can be seen.

Timely examination and diagnosis are as follows:

1. Vaginal four-dimensional color Doppler ultrasound: During the examination, the shape of the uterus can be determined, and it can be found that the muscle wall is large and the echoes between the muscle walls are uneven.

2. Gynecological examination: Gynecological examination will reveal an increase in uterine globularity and obvious tenderness.

3. Medical history examination: determine whether the patient has a history of difficult pregnancy and habitual miscarriage.

4. Sonographic signs: The uterus will be found to be enlarged and full in shape, and the sonographic pattern of the myometrium is uneven, irregular, and unevenly distributed.

Surgical treatment is common

Surgical treatment includes radical surgery and conservative surgery. Radical surgery is hysterectomy, including adenomyosis adenomyoma resection, endometrial and myometrial resection, myometrial electrocoagulation, uterine artery occlusion, presacral neurectomy and sacral neurectomy.

1Hysterectomy

It is suitable for patients who have no fertility requirements, extensive lesions, severe symptoms, and ineffective conservative treatment. In order to avoid residual lesions, total hysterectomy is the first choice, and partial hysterectomy is generally not recommended.

2. Adenomyosis resection

It is suitable for patients who want to have children or are young. Because adenomyosis is often diffuse and has unclear boundaries with normal uterine muscle tissue, how to choose to remove it to reduce bleeding, residue, and facilitate pregnancy after surgery is a difficult problem.