经阴道(直肠)三维超声在输卵管系膜囊肿中的诊断价值

Value of Three-dimensional Transvaginal(Rectum) Ultrasound in the Diagnosis of Mesosalpinx Cyst

目的探讨经阴道(直肠)三维超声在输卵管系膜囊肿中的诊断价值。方法回顾性分析我院162例输卵管系膜囊肿患者的临床资料,所有患者均行手术治疗,并经病理证实为输卵管系膜囊肿。162例患者术前均采用经阴道(直肠)三维超声检查,其中134例术前同时行CT检查,对比分析经阴道(直肠)三维超声检查(162例)及CT检查(134例)的诊断结果。结果经阴道(直肠)三维超声检查诊断为输卵管系膜囊肿者142例,确诊率为87.7%(142/162)。CT检查诊断为输卵管系膜囊肿者120例,确诊率为89.6%(120/134)。2种检查方法术前确诊率比较差异无统计学意义(P>0.05)。结论经阴道(直肠)三维超声及CT检查均能准确显示囊肿与卵巢的空间关系,降低输卵管系膜囊肿的漏误诊率,但因超声检查费用低,可作为临床诊断输卵管系膜囊肿的首选方法。

Objective To evaluate the diagnostic value of three-dimensional transvaginal （rectum） ultrasound for mesosalpinx cyst. Methods The clinical data of 162 cases with mesosalpinx cyst were analyzed retrospectively. All the 162 patients received the surgery. The 162 patients received three-dimensional transvaginal（rectum） ultrasound, and 134 patient received CT before the surgery. The diagnostic results of three-dimensional transvaginal（ rectum） ultrasound （n = 162） and CT（ n = 134 ） were compared. Results The diagnosis rate of three-dimensional transvaginal （rectum） ultrasound was 87.7% （142/162） ,and that was 89.6% （120/134） of CT,there was no significant difference between the two group （ P 〉 0.05 ）. Conclusion Three-dimensional transvaginal （rectum） ultrasound and CT can show the spatial relationship of cyst and ovarian accurately, reduce the misdiagnosis of mesosalpinx cyst. But because of the low cost of three-dimensional transvaginal （rectum） ultrasound, it can be the first choose to diagnosis of mesosalpinx cyst.