经腹和经阴超声诊断卵巢囊性肿块的比较研究

A comparative study of transabdominal and transvaginal ultrasonography in diagonosis of Ovarian Cystic Masses

目的探讨腹部超声和阴道超声对卵巢囊性肿块的诊断及鉴别诊断的临床价值。方法对186例门诊拟诊为卵巢囊肿患者的临床资料进行回顾性分析，比较其经腹部及经阴道超声的诊断符合率。结果经腹部超声检查阳性患者88例，误诊17例，临床诊断符合率为80．68％。经阴道超声检查阳性患者98例，误诊8例，临床诊断符合率为91．83％。经x2检验，两组临床诊断符合率比较差异有统计学意义（P〈0．05）。结论高分辨率的阴道超声检查在诊断卵巢囊性肿块中具有明显的优势，较腹部超声检查具有更高的准确性，必要时可联合应用经阴超声和经腹超声，正确识别声像图特征，提高诊断的准确性。

Objective To explore the clinic value of transabdominal and transvaginal ultrasonography in the diagonosis and differentiated diagnosis of ovarian cysts. Methods 186 cases of suspected ovarian cystic masses were analyzed retrospectively ,then the rate of correspondance with the clinical diagnosis was analysed between the transabdominal and transvaginal ultrasonography method. Results There were 88 positive cases in the transabdominal uhrasonography group, 17 cases were misdignosed ,the the rate of correspondance with the clinical diagnosis was 80.68%. There were 98 positive eases in the trans- vaginal ultrasonography group, 8 eases were misdiagnosed, the the rate of correspondance with the clinical diagnosis was 91.83%. The difference was significant between the two groups by Chi - square test（ P 〈 0.05 ）. Conclusion The high - resolution transvaginal uhrasonography examination has obvious advantage and higher precision than transabdominal one in di- agonosis of ovarian cystic masses. The combined application of transabdominal and transvaginal ultrasonography can be used when necessary so as to improve the diagnostic accuracy rate.