输卵管炎性疾病超声诊断方法学研究  

Transvaginal color Doppler sonography in diagnosis of oviduct inflammatory diseases

作　　者：金霞 陈建 张卫兵 刘华 颜朝晖 

机构地区：[1]江苏省武警总队医院,江苏扬州225003

出　　处：《实用临床医药杂志》2011年第19期180-182,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨输卵管炎性疾病的超声诊断方法。方法回顾性分析本院228例输卵管炎性疾病的超声诊断结果,总结输卵管结构超声显示的方法以及不同阶段输卵管炎性疾病的声像图特征,并对经腹部超声(TAS)与经阴道超声(TVS)检查结果进行对比研究。结果急性单纯性输卵管炎、急性输卵管炎伴输卵管积脓、输卵管积液分别为42例、45例、131例,TVS诊断符合率分别为100%、93.8%、98.4%,TAS诊断符合率分别为23.1%、73.4%、93.1%,诊断符合率差异均有统计学意义(P<0.05)。结论 TVS能清晰显示急性输卵管炎输卵管壁水肿、增厚、管腔轻微扩张等细微变化及丰富血供。TVS、TAS均能良好显示输卵管积液、输卵管积脓内部特征性结构,具有重要临床应用价值,但TVS优于TAS。Objective ： To discuss the ultrasound diagnostic methods in the oviduct inflammatory diseases through bo：th transvaginal color Doppler sonography （TVS） and transabdominal ,sonography （TAS）. Methods The ultrasound diagnostic results of 228 cases with the oviduct inflammatory diseases checked by both TAS and TVS in our hospital were retrospectively analyzed. Ways to get sonographic images of Oviduct inflammatory diseases on different stages were probed. Results The cases of acute single salpingitis, acute salpingitis with pyosalpinx, sactosalpinx were 42, 45 and 131 respectively. The diagnostic coincidence rates of TVS were 100%, 93,8%, 98.4% accordingly. The diagnostic coincidence rates of TAS are 23.1%, 73.4 %, 93.1% accordingly. Tile differences in the diagnostic coincidence rates between TVS and TAS are statistically significant （ P 〈 0.05）. Conclusion Compared to TAS, TVS is signicantly more capable of getting better images of acute single salpingitis displaying oviduct wall thickening and edema with abundant blood signals even without significant oviduct dialating. Both TVS and TAS have very important clinical application value in diagnosing acute salpingitis with pyosalpinx, sactosalpinx. TVS is better than TAS.

关 键 词：经阴道超声 经腹部超声 输卵管炎性疾病 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.76[医药卫生—诊断学]