凸阵探头经体表与腹腔镜线阵探头经直肠联合检查在超声诊断子宫脱垂中的应用  

Application of combinative examination of transabdominal convex lens probe and transrectal laparoscopic linear probe to ultrasonic diagnosis of uterine prolapse

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

机构地区：[1]解放军第477医院特诊科,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》2014年第11期1183-1186,共4页Clinical Journal of Medical Officers

摘　　要：目的探讨凸阵探头经体表与腹腔镜线阵探头经直肠联合检查在超声观察子宫脱垂患者中的优越性。方法分别对52例子宫脱垂患者行单一的凸阵探头经体表及腹腔镜线阵探头经直肠检查,两者检查后,分析相关资料,并将联合检查与单一检查结果进行比较。结果(1)超声诊断子宫脱垂应以耻骨联合中央处骨回声切面作为参考平面,可将宫颈内口低于骨回声上缘和宫颈外口低于骨回声下缘分别作为单一凸阵探头经体表和腹腔镜线阵探头经直肠检查的参照标准。(2)凸阵探头经体表与腹腔镜线阵探头经直肠联合检查能避开耻骨联合骨回声的声影干扰全程显示子宫脱垂及其周围组织结构的变化,较单一检查具有优越性。结论凸阵探头经体表与腹腔镜线阵探头经直肠联合检查是一种较单一检查优越,能从耻骨联合上下两方兼顾提高子宫脱垂诊断准确率的、简单易学的方法。Objective To investigate the application of combinative examination of transabdominal convex lens probe and transrectal laparoscopic linear probe to ultrasonic diagnosis of uterine prolapse and compare it＇ s advantage with single examination method. Methods A total of 52 patients with uterine prolapse were examined with combinative examination of transabdominal convex lensprobe and transrectal laparoscopic linear probe. Results （ 1 ） Uterine prolapse was diagnosed based on the location of external aperture of cervix lower than the inferior border of central pubic symphysis bone with laparoscopic linear probe and the endostoma of cervix lower than the superior border of central pubic symphysis bone with convex lens probe. （2） The sonographic appearance of the combinative method could display the dynamic process of prolapse entirely to get out of the shadow of pubic symphysis bone, so it had the advantage over single examination method. Conclusion Compared with single method, the combinative examination of transabdominal convex lens probe and transrectal with laparoscopic linear probe is good at ultrasonic diagnosis of uterine prolapse.

关 键 词：超声 凸阵探头 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]