经阴道超声诊断治疗卵巢子宫内膜异位囊肿及子宫腺肌病

Transvaginal Sonography in the Diagnosis and Treatment of Ovarian Endometriosis and Adenomyosis

目的探讨经阴道超声诊断治疗卵巢子宫内膜异位囊肿及子宫腺肌病。方法对218例卵巢子宫内膜异位囊肿及子宫腺肌病患者的声像图进行回顾性分析。术前均行经阴道超声检查,常规血清CA125测定,部分患者并经阴道超声引导穿刺、无水乙醇注入治疗。结果阴道超声检查卵巢子宫内膜异位囊肿符合率94.9%;子宫腺肌病符合率96.8%;卵巢子宫内膜异位囊肿合并子宫腺肌病符合率92.8%。结论阴道超声可做为较准确诊断卵巢子宫内膜异位囊肿合并子宫腺肌病的首选方法之一。

Objective To evaluate the transvaginal sonography in the diagonasis and therapy of ovarian endometriosis and adenomyosis. Methods An image of 218 patients with endometriosis and adenomyosis were retrospectively analyzed. All patients were examined transvagihal sonography and serum CA125 mesurement. Some of the patients underwent ovarian cyst penetration with assistance of transvaginal sonography. Results The accurate rates of diagonasis with transvaginal sonography for ovay endometriosis cyst, adenomyosis and ovarian endometriosis cyst complicated by adenomyosis were 94.9%,96.8% and 92.8%. Conclusion Transvaginal sonography can be the first choise to diagnose ovarian endometriosis and adenomyosis.