经阴道超声在盆腔炎性包块诊断中的应用

Diagnosis of Pelvic Inflammatory Mass by Transvaginal Ultrasound

目的 应用经阴道超声 (TVU)诊断盆腔炎性包块 ,探讨其临床应用价值。方法 重点观察包块的形态、内容物特点、与子宫卵巢及宫旁组织的关系。结果 91例盆腔炎性包块声像图表现可分为四类 :①盆腔包裹性积液(4 2例 )。②附件混合性包块 (2 5例 )。③附件液性为主包块 (2 1例 )。④附件弱回声团块 (3例 )。 91例中 48例经手术和病理证实 ,41例经抗炎抗痨治疗后包块明显缩小及消失 ,误诊 2例 ,诊断符合率达 97 8%。结论 经阴道超声诊断盆腔炎性包块为临床诊断和确定治疗方案提供了可靠的依据。

Objective To evaluate the clinical diagnosis value of transvaginal ultrasound(TVU) on pelvic inflammatory mass. Methods Mainly observe the shape、 content of masses and the relationship between masses with uterus、 ovary and neighbour tissues of uterus. Results Of 91 cases of pelvic inflammatory mass, the ultrasonograms can be classified into 4 categories:①pelvic encapsulated fluid(42 cases); ②appendixes mixed mass(25 cases);③appendixes fluid-major mass(21 cases);④appendixes weaker-echoed mass(3 cases). Among 91 cases, 48 cases were confirmed surgically and pathologically; 41 cases were shrunk or disappeared significantly after antiphthisic or anti-inflammatic therapy; 2 cases were misdiagnosis. The correspondence rate was 97.8%. Conclusion The TVU is an effective method for diagnosis of pelvic inflammatory mass and provides reliable evidences for clinical diagnosis and clear treatment planing. [