Objective To investigate the diagnostic value of color Doppler ultrasound for abdominal wall endometriosis (AWE)after caesarean section. Methods The clinical data and manifestation of color Doppler ultrasoundof 46 AWE patients confirmed by surgery and pathologywere retrospectively analyzed. Results The diagnostic accuracy of color Doppler ultrasound for AWEwas 97.83%. Withcolor Doppler ultrasonography,threre was no calcification,irregularmorphology and size,with aspect ratio ≤1,uneven and low echoes inside, blurred margins,and the CDFI showed no or a small amount offlow signals,whose artery displayed "low speed and high resistance",and tumor size and echo might vary with the menstrual cycle changes.Compared with ≥3 cm group,the latent period of <3 cm groupnodules were shorter,the locationwas more superficial,the shapewas round or oval,and there was no or few vascularity;the latent period of ≥3 cm group was longer,location wasdeeper,the shape was irregular,and the vascularity was abundant.In the tumor diameter<3 cm group,the latent period was (2.52±0.98) years, lesion diameter was (1.61±0.54)cm,irregularmorphology was 68.75%,with location (22 cases of rectus abdominis sheath and subcutaneous fat layer and 10 cases of abdominal transverse fascia/full-thickness abdominal wall)and CDFI blood flow(no in 10 cases, poor in 19 cases, and rich in 3 cases)as listed in brackets;thosein the tumor diameter ≥3 cm group were (3.90±1.43) years,(4.35±1.42) cm, 89.47%irregularmorphology, location (4 cases of rectus abdominis sheath and subcutaneous fat layer and 15 cases of abdominal transverse fascia/full-thickness abdominal wall), CDFI blood flow(no in 3 cases,poor in 8 cases, and rich in 8 cases), respectively, and the differences between the groups were significantstatistically(P<0.05). Conclusion Color Doppler ultrasound,whenproperly combined with the illness history and clinical manifestations, can make an accurate diagnosis of localization and characterization,which may be a simple and reliable method in the diagnosis of AWE. |