The clinical analysis of transvaginal color Doppler ultrasonography in diagnosing leiomyoma and adenomyoma

Objective:To explore the clinical value of transvaginal two dimensional and color Doppler ultrasonography in diagnosing uterine leiomyoma ,adenomyosis and adenomyoma.Methods:During Nov1,1998to Jan1,200292patients with leiomyoma and adenomyosis were analyzed by transvaginal color Doppler ultrasonography in our hospital,which were verified by operation and pathology.Color Doppler flow imaging was observed in patients with leiomyoma and adenomyosis.Results:Characteristic changes were observed in both methods of ultrasonography.Color Doppler flow imaging was as following:the vascular supply and blood stream at the edge of mass in patients with leiomyoma was rich and abundant,arterial flow resistant index was0.58±0.16,and spano-blood stream at edge of mass in patients with adenomyoma was found,arterial flow resistant index was0.74±0.07.The coincidence rate of transvaginal color Doppler ultrasonography in diagnosing leiomyoma and adeno-myosis was93.1%and76.4%,respectively.Conclusion:Transvaginal color Doppler ultrasonography provided differential diagno-sis in leiomyoma and adenomyosis.