经腹及经阴道超声、宫腔超声造影和宫腔镜诊断宫内病变  

Value of transabdominal and transvaginal sonography,sonohysterography and hysteroscopy in evaluating uterine cavity lesions

作　　者：郑宗英[1] 朱凤川[2] 郑秀[2] 刘新秀[1] 谢兰琴[2] 申玉萍[1] 江忠清[2] 甘玲[1] 

机构地区：[1]福建医科大学附属第一医院超声科,福州350005 [2]福建医科大学附属第一医院妇产科,福州350005

出　　处：《中华超声影像学杂志》2004年第8期591-593,共3页Chinese Journal of Ultrasonography

基　　金：福建省教委科研课题 (JB 980 74)

摘　　要：目的　评价经腹、经阴道超声及宫腔超声造影、宫腔镜对宫内病变的诊断价值。方法　常规经腹部、经阴道超声及生理盐水灌注宫腔后经阴道超声观察宫内病变 ,宫腔镜检查治疗宫内病变。结果88例经腹超声 ,45例经阴道超声 ,3 9例宫腔超声造影 ,2 3例行宫腔镜检查治疗 ,数种方法结果比较 :宫腔超声造影和宫腔镜的敏感性、准确性和阳性预测值最高 ,分别为 94.2 9%、90 .2 4%、 94.2 9%和 95 .65 %、91.67%、95 .65 % ,两者差异无显著性意义。结论　经阴道超声、宫腔超声造影是诊断宫腔内病变的一种简便、经济、无痛苦无损伤。Objective To evaluate the value of transabdominal sonography(TAS),transvaginal sonography(TVS),sonohysterography(SHG),and hysteroscopy(HS) in the detection of endometrial pathology in the patients with uterine cavity lesions. Methods Uterine abnormality and disease were routinely examined by TAS, TVS, SHG.Results TAS was performed in 88 cases,TVS in 45 cases,SHG in 39 cases,and HS in 23 cases.Comparison was made between different means,showing SHG and HS with the highest sensitivity,accuracy and positive evaluation,respectively as 94.29%, 90.24%, 94.29%,and 95.65%, 91.67%, 95.65%.Conclusions Transvaginal sonohysterography is an easy, accurate,econimical,painless and no-injury technique for detecting endomatrial pathology and endoluminal masses.

关 键 词：经腹超声 经阴道超声 宫腔超声造影 宫腔镜检查 诊断 宫内病变 

分 类 号：R445.1[医药卫生—影像医学与核医学]