输卵管炎经阴道彩色多普勒超声检查的声像图表现及其临床意义

Transvaginai color doppler ultrasound sonography and its clinical significance for salpingitis

目的探讨经阴道彩色多普勒超声（Transvaginal scaning，Color doppler Flow Image；TVS—CDFI）检查不同型输卵管炎的声像图表现及临床意义。方法总结56例经手术、腹腔镜证实或诊断性治疗确诊为输卵管炎患者的声像图表现及临床诊治情况。结果输卵管炎声像图表现为两种类型：（1）单纯型：17例，附件区见管状不均质回声，短轴1．2～2．8cm，长轴5．3～11．5cm，CDFI显示内部血流较丰富。经诊断性治疗后管状不均质回声明显缩小或消失。（2）积液型：39例，附件区见扭曲管状、腊肠状或盲袋状囊性包块，短轴1．3～5．3cm，长轴2．8～10．8cm，CD—F1显示管壁上见星点状彩色血流，经手术或腹腔镜证实为输卵管积水28例；输卵管积水合并卵巢积水6例；输卯管、卵巢积脓合并盆腔脓肿11例。积液型中误诊2例，漏诊1例，超声诊断符合率92．3％（36／39）。结论TVS—CDFI对输卵管炎有较高的诊断价值，区分其是单纯型还是积液型对临床选择及制定治疗方案有重要的参考意义。

Objective To investigate the transvaginal seaning, Color Doppler Flow Image（ TVS - CDFI） check different types of salpingitis of Ultrasonography and clinical significance. Methods 56 cases after surgery, diagnostic laparoscopy to confirm or treatment of patients diagnosed as salpingitis Sonographic and clinical situations, Results Salpingitis Sonographic into two types ： （ 1 ） simple type ： 17 cases, see the annex area tubular heterogeneous echo, short axis 1. 2 - 2.8 cm,long axis 5.3 - 11.5 cm, CDFI showed blood flow compared with rich. The diagnostic treatment significantly reduced tubular heterogeneous echo or disappeared ; （2） Fluid type ：39 cases, accessories area see twisted tubular, sausage - shaped cystic mass or a blind pocket, short axis 1.3 -5.3 cm,length Axis 2. 8 - 10. 8 cm, CDFI showed satellite spots seen on the wall - like color flow, after surgery or laparoscopy confirmed 28 cases of hydrosalpinx ; Hydrosalpinx Ovarian water, 6 ; fallopian tubes, ovaries and pelvic abscess, empyema in 11 cases. Fluid type in the two cases of misdiagnosis, missed diagnosis in 1 case, ultrasound diagnosis rate of 92. 3% （36/39）. Conclusion TVS - CDFI right salpingitis has high diagnostic value to distinguish it is the simple type or fluid type selection and the development of clinical treatment programs are an important reference value.