Iashvili T I, Kherodinashvili Sh Sh, Dzhorbenadze T G, Shermadini T I
Georgian Med News. 2006 Oct(139):40-3.
The transvaginal and abdominal ultrasound examination is an effective method of defining the internal multinodular structure of large uterine leiomyoma. Ultrasonic Dopplerography allows us to evaluate uterine internal pattern and the blood flow in the patients with large uterine leiomyoma. The incidence of leiomyoma was the same in late reproductive and premenopausal uteri, although the average number of leiomyoma and the average size of the largest leiomyoma were higher in the premenopausal women. The correlation of the morphological and preoperational results of the ultrasound examination of 21 female with large uteral leiomyoma has been carried out. It has been found that the echographic picture of the nodules is defined by the combinations of the various components possessing the properties of hypoechogeneity (necrosis and the edema of the fibrous structures). Different variants of leiomyoma clinical course in the patients are of interest. The conformity of the echographic picture of large leiomyoma and their morphological structure were revealed at the examination of all the types have made up 94%. The data obtained allowed us to optimize the complex of the diagnostic investigations necessary for revealing proliferative process.
经阴道和腹部超声检查是确定大型子宫平滑肌瘤内部多结节结构的有效方法。超声多普勒检查使我们能够评估大型子宫平滑肌瘤患者的子宫内部形态和血流情况。尽管绝经前女性的平滑肌瘤平均数量和最大平滑肌瘤的平均尺寸更高，但平滑肌瘤在生殖后期子宫和绝经前子宫中的发生率相同。对21例患有大型子宫平滑肌瘤的女性进行了超声检查的形态学与术前结果的相关性研究。已发现结节的超声图像由具有低回声特性（纤维结构的坏死和水肿）的各种成分组合所决定。患者中不同类型的平滑肌瘤临床病程令人关注。在对所有类型的大型平滑肌瘤进行检查时发现，其超声图像与其形态结构的符合率为94%。所获得的数据使我们能够优化揭示增殖过程所需的诊断检查组合。
