经阴道超声在妇产科诊断中特点及临床应用价值.doc

精品论文 参考文献 经阴道超声在妇产科诊断中特点及临床应用价值 千小川 (咸宁市中心医院 湖北咸宁 437100) 【中图分类号】R445【文献标识码】A【文章编号】1672-5085（2012）21-0445-02 【摘要】目的 通过762例妇产科疾病经阴道超声(Transvaginal Ultrasonography，TVS)与经腹超声(Transabdominal Ultrasonography，TAS)对比，找出TVS特点及临床的应用价值。方法 用GE-LOG7、彩色多普勒超声诊断仪对762例妇产科疾病患者，先TAS检查，后TVS检查，然后对比分析。结果 TVS对宮內早早孕、宮外孕、盆腔静脉瘀血症、输卵管积液、附件小于2.5cm囊实质性包块、宫颈囊肿、子宮小肌瘤及子宮肌瘤与子宮腺肌病的鉴別等有其检出特点，优于TAS。但对较大宮底肌瘤，位置较高的附件包块，盆腔大的囊实质性包块以及中晚期妊娠及胎儿，不如TAS。762例宮内早早孕、宮外孕、宫颈囊肿、子宮肌瘤、附件包块等，经TVS检查与临床诊断符合率722/762占94.7% ,而经TAS检查与临床诊断符合率525/762占68.9%，P值lt;0.05，有显著性差异。结论 经TVS在妇产科的应用有其特点，但不能代替TAS。两种方法选择性或结合使用,对妇产科疾病的临床确诊与治疗更有价值。 【关键词】TVS TAS 妇产科　 Transvaginal Ultrasonography Imaging in Diagnosing Gynecologic Disease 【Abstract】Objective To compare the imaging features and clinical value of transvaginal ultrasonography(TVS) imaging and transabdominal ultrasonography(TAS) in diagnosing gynecologic disease,and to evaluate advantage of the TVS.Methods 390 patients with gynecologic disease were examined by TVS and TAS.Results TVS had the characteristic of differential diagnosis the gynecologic disease:very early intrauterine pregnancy,extrauterine pregnancy,pelvic varicosity,uterine tube hydrocele,2.5cm lower adnexa cystic and parenchymatous masses,cervical cyst,small myoma of uterus , myoma of uterus and adenomyosis.It has more superiority than TAS.Howerer,TAS had the clinical value of the diagnosis of bigger myoma of uterus,higher position adnexa masses,bigger cystic and parenchymatous in pelvic,and fetal of middle and later period pregnancy.The total coincidence rate of TVS imaging was 94.7%(722/762).comparing clinic diagnose,and the total coincidence rate of TAS imaging was 68.9%(525/762).It was significant difference between the two method(Plt;0.05).Conclusions TVS provides significant guides to the characteristics of gynecologic disease,and donrsquo;t replace TAS.The two method are valuable for diagnosing and treatment gynecologic disease if TVS and TAS are combined or alternative. 【Key wo