ANALYSIS OF ULTRASONOGRAPHY OF CASES OF HYSTEROMYOMA AND ADENOMYOSIS

Objective To evaluate the sonographic characteristics and differential diagnosis of hysteromyoma and adenomyosis.Methods 65 cases with hysteromyoma and 41 cases with adenomyosis were given B-ultrosonic examination.The ultrasonograms were made for a comparative analysis.Results 61cases with hysteromyoma (93.8%) showed pseudocapsules or discernible boundaries,38 cases with adenomyosis (92.7%) showed indiscernible boundaries,54 cases with hysteromyoma(83.1%) showed paling pictures,54 cases (83.1%) showed posterior echo attenuation,36 cases (55.4%) showed hypoechoes,and 6 cases(9.2%)showed hyperechoes.But only 11cases with adenomyosis(26.8%)showed paling pictures,3 cases (7.3%) showed posterior echo attenuation,4 cases (9.8%) showed hypoechoes,and 24 cases (58.5%) showed hyperechoes.The results showed significant difference between them(P0.01).Conclusion Diagnosis and differential diagnosis of hysteromyoma and adenomyosis are possible and practical by B-ultrasonography.