超声检查对子宫内膜异位症的诊断价值

Diagnostic value of ultrasonography to endometriosis

目的:探讨超声检查对子宫内膜异位症的诊断价值。方法:回顾性分析我院经腹腔镜手术确诊为内异症的90例患者术前的超声检查结果,与妇科检查(双合诊和三合诊)、术中所见、组织病理学结果进行比较,以确定超声检查的术前诊断价值。结果:本组90例患者中超声诊断为内异症者83例,漏诊7例,诊断准确率92%(83/90),卵巢子宫内膜异位囊肿的共70例(一侧单发49例,双侧者21例,后经腹腔镜确诊),诊断准确率100%(70/70)。行单一腹部超声检查者30例,诊断为内异症者23例,诊断准确率为77%(23/30)。而行阴式超声或腹部联合阴式超声检查者60例,诊断为内异症者60例,诊断准确率为100%(60/60)。结论:超声检查是诊断内异症尤其是卵巢子宫内膜异位囊肿的有效手段,无创、准确、安全,并能动态观察病情变化。

Objective：To find out the diagnostic value of ultrasonography to endometriosis. Methods：To retrospectively analyse the results of ultrasonography of 90 cases who were finally diagnosed by laparoscopy before operation. And compare ultrasonography and gynecologic examination （bimanual examination and vagino-recto-abdominal examination）, findings during the operation, results of histopathology to definitely realize the diagnostic value of ultrasonography before operation. Results：There are 83 cases diagonosed by ultrasonography among 90 endometriosis cases, and 7 cases missed diagnosed, the accurate rate 92% （83/90）. 70 cases are endometriotic cyst or cysts of ovary or ovaris（49 cases on one ovary and 21cases on two ovarys）, the accurate rate 100% （70/70）. 23 cases were diagnosed endometriosis only by abdominal uhrasonography among 30 cases of endometriosis, the accurate rate 77% （23/30）. 60 cases were diagnosed endometfiosis by vaginal uhrasonography or vaginal ultrasonography and abdominal ultrasonography, the accurate rate 100% （60/60）. Conclusion：Ultrasonography is a good method of mass suvey to diagnose endometriosis, especially endometriotic cyst or cysts of ovary or ovaries. It is also an accurately, safely, method without trauma. And we can observe the change of patient＇s condition dynamically by it.