| 摘要: |
| 子宫腺肌病是子宫内膜腺体和间质侵入子宫肌层所致的良性妇科疾病，与异常子宫出血、痛经、慢性盆腔疼痛、不孕及不良妊娠结局密切相关，严重影响患者的生活质量。经阴道超声凭借其便捷、经济、可动态观察等优势，已成为子宫腺肌病首选的影像学检查方式。随着三维超声、超声造影、弹性成像等超声成像及图像处理技术的不断发展，以及MUSA（子宫形态超声评估）标准化诊断体系的建立，超声对子宫腺肌病诊断的准确率显著提升，并逐步向疾病分型、严重程度评估及疗效监测等方向拓展。本文就子宫腺肌病超声学诊断的最新研究进展进行综述。 |
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he xiao jing
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The Second Hospital of Hebei Medical University
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| Abstract: |
| Adenomyosis is a benign gynecological condition characterized by the presence of endometrial glands and stroma within the myometrium. It is closely associated with abnormal uterine bleeding, dysmenorrhea, chronic pelvic pain, infertility, and adverse pregnancy outcomes, and significantly impacts patients’ quality of life.Transvaginal ultrasound has become the preferred imaging modality for adenomyosis due to its convenience, cost-effectiveness, and ability to provide dynamic observation.With continuous advances in ultrasound imaging and image processing technologies (such as 3D ultrasound, intrauterine sonohysterography, and elastography), as well as the establishment of a standardized diagnostic system for MUSA (morphological ultrasound assessment of the uterus), the diagnostic accuracy of ultrasound for adenomyosis has significantly improved and is gradually expanding to include disease classification, severity assessment, and treatment response monitoring.This article reviews the latest research advances in the ultrasound diagnosis of adenomyosis. |
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