经阴道超声检查对87例盆腔炎症的临床分析

Clinical analysis on transvaginal ultrasonography in 87 cases with pelvic inflammation

目的:探讨经阴道超声检查对盆腔炎症的诊断价值。方法:回顾性分析87例超声诊断盆腔炎症的患者,比较治疗前及治疗后经阴道超声检查资料。结果:87例初步诊断为盆腔炎症患者,经抗感染治疗和术后病理证实73例,低位化脓性阑尾炎脓肿形成及恶性肿瘤等误诊为盆腔炎症14例,诊断符合率为83.9%。29例盆腔炎性包块,正确分类诊断20例,诊断符合率68.9%,其中输卵管积脓和输卵管卵巢积脓11例,盆腔脓肿形成9例,27例输卵管积水,其中手术证实经阴道超声正确诊断22例,诊断符合率81.5%。结论:经阴道超声对盆腔炎症诊断和指导治疗有很高的价值。

Objective： To explore the value of transvaginal ultrasonography in diagnosis of pelvic inflammation. Methods： Eightyseven patients diagnosed as pelvic inflammation by transvaginal ultrasonography were analyzed retrospectively; the ultrasonic data before and after treatment were compared. Results： Among 87 patients, 73 patients were diagnosed definitely after antiinflammatory therapy and postoperative pathological examination, 14 patients with abscess formation of lower suppurative appendicitis and malignant tumor were misdiagnosed as pelvic inflammation, the coincidence rate of diagnosis was 83.9%. Twenty - nine patients were diagnosed as pelvic inflammatory mass, 20 patients were classified and diagnosed correctly, the coincidence rate of diagnosis was 68. 9% , including 11 patients with pyosalpinx and pyosalpinx combined with pyoovarium, 9 patients with pelvic abscess formation ; among 27 patients with hydrosalpinx, 22 patients were confirmed correctly by operation, the coincidence rate was 81.5 %. Conclusion： Transvaginal uhrasonography has high value in diagnosis and treatment auidance of oelvic inflammation.