Abstract:
Objective To explore the value of Color Doppler Ultrasound inthe diagnosis and differential diagnosis of round ligament of uterus.
Methods The clinical data and ultrasonographic findings of 105 patients(113 cases) with round ligament lesions diagnosed by Color Doppler Ultrasound in Beijing Chao-Yang Hospital West District from January 2013 to December 2018 were retrospectively analyzed, and compared with surgical and pathological results.
Results There were 66 patients (69 cases) of round ligament cyst, all of which were complicated with inguinal hernia, Among them, 61 patients (64 cases) were diagnosed correctly by ultrasound. 2 patients (2 cases) with round ligament effusion and round ligament thickening were confirmed as endometriosis with indirect hernia by operation and pathology. 1 patient (1 case) was diagnosed as a varicose veins with indirect hernia by ultrasound, and the varicose veins disappeared after indirect hernia operation.1 patient (1 case) round ligament cyst complicated with hernia was confirmed by operation as indirect hernia with unknown cystic lesion of round ligament.Ultrasound correctly described 21 patients (24 cases) of communicating effusion in round ligament area, all of them proved to be indirect hernia after operation.
Conclusion Color Doppler Ultrasound is of great value in the diagnosis of round ligament diseases, especially in the diagnosis of round ligament cysts. The incidence of round ligament cyst is relatively high in round ligament diseases.Round ligament disease are closely related to inguinal hernia.
Key words:
Round ligament,
Cyst,
Henria, inguinal,
Ultrasonography, doppler, color
Xiaoya Li, Hua Tang, Pengcheng Jiang, Jianhong Dong, Panshi Hao, Hongyan Zhao. Application of Color Doppler Ultrasound in diagnosis of the disease of round ligament of uterus[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(03): 270-273.