经阴道超声检查诊断输卵管积液

Diagnosis of sactosalpinx by transvaginal ultrasound inspection

目的评价经阴道超声检查(TVS)诊断输卵管积液的临床价值。方法经子宫输卵管造影术或腹腔镜手术证实的输卵管积液患者434例,共550个病灶。术前分别以双盲法进行常规妇科检查、经腹部超声检查及TVS检查,并对检查结果进行比较。结果经阴道超声检查正确诊断434例,检出病灶550个,误诊3个,诊断准确率为99.7%。经腹部超声检查正确检出病灶494个,漏诊56个,误诊15个,诊断准确率为91.9%。常规妇科检查正确检出病灶314个,漏诊236个,误诊27个,诊断准确率为69.9%。3种方法的诊断准确率比较,有明显的不同,差异具有统计学意义。结论TVS检查对输卵管积液的诊断准确率高(99.7%),有较高的临床实用价值。

Objective To evaluate the clinical value of transvaginal ultrasound inspection for diagnosis of sactosalpinx, Methods Four hundreds and thirty-four patients with sactosalpinx were confirmed by uterus-salpinx lipiodolography or laparoscopic operation with 550 focuses of disease, The gynecologic conventional examination,abdomlnal ultrasound and transvaginal ultrasound were performed by double-bllnd method and the results were compared. Results Four hundreds and thirty-four patients were exactly diagnosed by transvaginal ultrasound inspection, 550 focuses of infection were detected,3 patients were misdiagnosed,diagnosis accuracy rate was 99.7% ;494 patients were exactly diagnosed by abdominal ultrasound examination, 56 patients were missed diagnosis, 15 patients were misdiagnosed,diagnosis accuracy rate was 91.9%; 314 patients were exactly diagnosed by gynecologic conventional examination, 236 patients were missed diagnosis, 27 patients were misdiagnosed,diagnosis accuracy rate was 69.9%. There was statistical difference among diagnosis accuracy rates of three methods. Conclusion Transvaginal ultrasound inspection has high accuracy rate for diagnosis of sactosalpinx and has higher applicable value in clinic.