Pietilä K, Tähti E
Rofo. 1975 Mar;122(3):262-4. doi: 10.1055/s-0029-1230068.
From the above it will be seen that radiological examination in general is valuable in the diagnosis of uterine myomas; if the disease is advanced, then radiological diagnosis provides no difficulties. The preoperative radiological diagnosis of uterine myomas is particularly indicated in the following situations: 1. Suspicion of a submucous myoma, particularly if there may have been bleeding. 2. If accurate elucidation of the anatomy in the myomatous uterus is desirable pre-operatively, as for instance in cases of sterility when a conservative operation, such as enucliation may be planned. 3. For the differentiation between ovarian and uterine tumours when a tumour has been found in the pelvis.
从上述内容可以看出,一般来说,放射学检查在子宫肌瘤的诊断中具有重要价值;如果病情已发展到晚期,那么放射学诊断并不困难。子宫肌瘤的术前放射学诊断在以下情况中尤为适用:1. 怀疑有黏膜下肌瘤,尤其是可能出现过出血的情况。2. 如果术前需要准确阐明肌瘤子宫的解剖结构,例如在不育症病例中,可能计划进行诸如肌瘤摘除术等保守手术时。3. 当在盆腔中发现肿瘤时,用于区分卵巢肿瘤和子宫肿瘤。