Value of color doppler ultrasonic examination in diagnosing abdominal incisional endometriosis

Objective:To explore the characters of two dimensional and color doppler ultrasonic imaging of abdominal incisional endometriosis.Methods:Retrospectively analyzed two dimensional and color doppler ultrasonic imaging of 15 cases with abdominal incisional endometriosis confirmed by surgery and pathological analysis.Results:All masses were in abdominal incision including 9 cases under subcutaneous fat,5 in rectus abdominis,and 1 extended over rectus abdominis and almost into peritoneal with ambiguous boundary.The diameter was 0.7~4.4 cm.All masses were uncoated,with ambiguous boundary,and irregular formation.Some had heterogenous internal echo,and some had no echo.The imaging showed star-like,cosh-like,and fasiculate blood flow signal in and near masses,which was arterial spectrum with slow speed and high resistance.The peak systolic velocity(PSV)was 4.1~5.8 cm/s,end diabolic velocity was 4.1~5.8cm/s,and resistance index was 0.66~0.78.Conclusion:Color doppler ultrasonic examination is valuable in diagnosing abdominal incisional endometriosis.