High frequency ultrasound expression of abdominal wall endometriomas and diagnostic value

Abstract

Objective To explore the character and clinical value of high frequency ultrasound in diagnosing abdominal wall endometriomas. Methods The characteristics of the ultrosonographic images in 32 cases with abdominal wall endometriomas by operation and pathology were analyzed retrospectively. Results A total of 33 lesions,including 1 case of multiple(2 lesions), the rest of the 31 cases were single, mostly in the original abdominal incision place or incision side subcutaneous soft tissue,1 case away from the incision, located in the inguinal region.26 lesions was located in the subcutaneous fat and 6 lesion in the rectus abdominis muscle. All of the lesions hadn't capsule and were irregular in shape.The internal echo behaved low echo and on homogenous mostly, one or more small anechoic lacunae could be seen on sonography.CDFI according to Adler semi- quantitative method classification,25 lesions was 0 level (no blood flow signal),7 lesions for I level(edge had a small amount of pitting,short rod blood flow signal),Pulse doppler performance for low- speed and high- resistance characteristics. Conclusion Combining with the history and clinical performance, high frequency ultrasonography in abdominal wall endometriosis can be made relatively clear diagnosis, surgery of positioning has a guiding significance, which can be used as the disease choice examination method. Key words: Ultrasonography; Abdominal wall incisional; Endometriomas