超声腹腔镜线阵探头经直肠诊断子宫脱垂的初步探讨  

Preliminary discussion of transrectal ultrasonic diagnosis of uterine prolapsed by laparoscope linear probe

作　　者：苏光明[1] 高海港[1] 黎颖[1] 曹培勇[2] 祝莉[1] 孙浩[1] 鲁娟[2] 

机构地区：[1]解放军第477医院特理科,湖北襄阳441003 [2]解放军第477医院妇产科,湖北襄阳441003

出　　处：《临床军医杂志》2012年第2期416-418,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨超声对子宫脱垂的诊断方法和价值。方法回顾性分析运用超声腹腔镜线阵探头经直肠诊断临床证实的32例子宫脱垂患者的声像图资料,并与子宫位置正常者30例作对比。结果 (1)腹腔镜探头经直肠检查可清晰显示直肠段前方子宫或阴道、膀胱或尿道等组织结构声像图,子宫脱垂程度不同具有不同的声像图表现,部分可显示脱垂过程的动态变化。(2)耻骨联合中央处骨回声下缘回声位置固定,容易辨认;以耻骨联合中央处骨回声下缘作为参照物,根据宫颈外口是否低于耻骨联合中央处骨回声下缘可诊断子宫脱垂。结论超声腹腔镜线阵探头经直肠诊断子宫脱垂可以以耻骨联合中央处骨回声下缘为参照物,能为临床明确病情提供帮助。Objective To investigate the value and diagnostic method of transrectal ultrasound in diagnosis of uterine prolapse.Methods 32 cases of uterine prolapse diagnosed by ultrasonic laparoscope linear probe and confirmed by clinic,then the results were analyzed retrospectively and compared with the normal cases（n=30）.Results 1.The prolapsed uterus and bladder located front of rectum were showed clearly by transrectal ultrasound.The sonographic appearance was different with distinct degree uterine prolapse,and it also can display the dynamic process of prolapse.2.It was easy to identify the inferior border of central pubic symphysis bone sonogram because its position was fixed.Uterine prolapse was diagnosed based on the location of external aperture of cervix which was lower than the inferior border of central pubic symphysis bone.Conclusion We could diagnose uterine prolapse by transrectal laparoscope linear probe based on the inferior border of central pubic symphysis bone sonogram,help the clinic to clear the condition.

关 键 词：超声 腹腔镜线阵探头 经直肠 子宫脱垂 

分 类 号：R445.1[医药卫生—影像医学与核医学]