经阴道与腹腔超声在妇科病变鉴别诊断中的应用价值比较

Clinical value comparison of transvaginal and transabdominal ultrasound in gynecological differential diagnosis

目的:对比分析经阴道和经腹超声在妇科手术患者的临床价值,选取简单、准确的超声检查方法。方法:选取我院463例妇科手术的患者,其中附件病变242例,子宫病变221例,手术前分别行经阴道和经腹部超声检查,比较两种超声检查方法的结果与临床病理的符合率。结果:经阴道超声检查有426例与临床病理结果一致,符合率92.00%,经腹部超声检查有334例与临床病理一致,符合率为72.14%,其中242例附件病变经阴道超声检查有211例与临床病理结果一致,符合率为87.19%,经腹部超声检查有147例与临床病理结果一致,符合率为60.74%;221例子宫病变经阴道超声检查有215例与临床病理结果一致,符合率为97.29%,经腹部超声检查有187例与临床病理结果一致,符合率为84.62%。结论:妇科手术患者用经阴道超声检查比经腹部超声检查结果更准确,特别是在附件病变中经阴道超声检查显著提高了疾病诊断率,临床可以在已婚女性中广泛使用。

Through comparing the clinical value of transvaginal and transabdominal ultrasound in gyneco- logical differential diagnosis, to select a simple and accurate ultrasonic inspection method. Methods： 463 patients having received gynecological surgery in our hospital, including 242 cases of accessory lesions and 221 cases of uter- ine disease, were selected and conducted transvaginal and transabdominal ultrasonography before surgery respective- ly. The coincidence rate of inspection results and clinical pathology of the two methods were compared. Results： For all the 463 patients, the coincidence rate of transvaginal ultrasound was 92.00%, while the coincidence rate of transabdominal ultrasound was 72.14%. For the 242 patients of accessory lesion, the coincidence rate of transvaginalultrasound was 87.19% （211 patients）, while the coincidence rate of transabdominal ultrasound was 60.74% （147 patients） ; for the 221 patients of uterine lesions, the coincidence rate of transvaginal ultrasound was 97.29% （215 patients）, while the coincidence rate of transabdominal ultrasound was 84.62% （ 187 patients）. Conclusions： Transvaginal ultrasound is more accurate than transabdominal ultrasound in the examination of patients having received gynecologic surgery, especially for patients of accessory lesion, which can be widely used clinically in the married women.