B型超声对女性结核性盆腔炎的诊断

Songraphic Differential Diagnosis of Pelvic Tuberculos Inflammatory Mass

目的 :本文对 1 8例盆腔炎患者进行了超声检查 ,目的探讨女性结核性盆腔炎的诊断及鉴别诊断的意义。方法 :应用彩色超声扫查其下腹部 ,发现子宫周围有肿块 ,观察其肿块内部回声及血流情况 ,并对经手术治疗及病理检查证实为结核性盆腔炎患者的声像图与临床治疗给以回顾性总结。结果 :本组 1 8例中有 1 0例超声诊断为结核性盆腔炎 ,3例为炎性包块 ,3例为卵巢肿瘤 ,2例为肿物性质待查。结论 :应用B型超声检查女性盆腔时 ,如发现囊实性肿块 ,且有明显与周边脏器粘连的特点 ,应结合临床症状及体征警惕结核性盆腔炎的发生。

s Objective:To invextigate the value of ultrasonograply in differential diagnosis of female pelvic tuberculous inflammatory masses and cyst.Methods:Sonographic findings of 18 patients with pelvic masses of ultrasonographic characteristics were analysed retrospectively.Results:10 of 18 sonographic features were found to have pelvic tuberculous inflammatory masses;among 3 cases,there were had migratory liquids and colic peristaltic rigidity in their pelvis.Conclusions:Poor borderline and echogenicity of the cystic cavity,the wall thickness and irregular or adhesives,and the ascetic quantity and the banded echo from the pelvis are useful features in diagnosing pelvic inflammatory tuberculous masses and abscesses.