经阴道超声对输卵管脓肿的诊断价值  

Transvaginal sonography in diagnosis of fallopian tube abscess

作　　者：李银珍[1] 郭凡[1] 张红志[1] 陈威[1] 

机构地区：[1]湖北省新华医院超声科,武汉430015

出　　处：《放射学实践》2011年第11期1228-1230,共3页Radiologic Practice

摘　　要：目的:探讨输卵管脓肿的经阴道超声声像图特征及其诊断价值。方法:回顾性分析53例输卵管脓肿患者的经阴道超声图像,其中48例经手术病理证实为输卵管脓肿。结果:48例患者超声诊断正确,其中一侧输卵管积脓19例,双侧积脓29例。77个输卵管积脓包块呈纡曲管状、腊肠状或曲颈瓶状无回声区,其中71个输卵管管壁有不完全分隔回声,68个无回声区内可见细密点状强光斑或絮状稍强回声漂浮,37个囊壁增厚呈钝齿轮样回声且内壁毛糙,32个积脓包块管壁上可见血流信号。超声误诊5例。结论:输卵管积脓的超声表现有一定特征性,超声能比较准确地诊断输卵管脓肿。Objective：To explore the features of fallopian tube abscess by transvaginal sonography（TVS） and to improve ultrasound diagnosis.Methods：Retrospective analysis was made of the ultrasonographic images of 53 cases pathologically proved to be fallopian tube abscess.Results：In 48 of the 53 cases,TVS made a correct diagnosis.There were 19 fallo-pian tube abscess in single tube,and 29 fallopian tube abscess in bilateral tubes.Seventy-seven masses showed the shapes of tortuous tubes,sausages or retorts used in laboratories.Seventy-one presented incomplete septum of the tubal wall.A thick wall and the cogwheel sign were present in 37.Blood flow around 32 masses were detected.TVS in 5 cases made misdiagnosis.Conclusion：TVS can clearly display contours and internal echoes of fallopian tube abscess as well as the relationship around tissue.Therefore,TVS has great importance for the clinical diagnosis of the diseases.

关 键 词：输卵管脓肿 超声 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.3[医药卫生—诊断学]