[1]余红星,张春玲.阴道超声检查与腹部超声检查在妇产科疾病诊断中的应用价值*[J].陕西医学杂志,2019,(4):445-448.
　YU Hongxing,ZHANG Chunling..Diagnositc value of vaginal ultrasonography and abdominal ultrasound in obstetrics and gynecology diseases[J].,2019,(4):445-448.
点击复制

阴道超声检查与腹部超声检查在妇产科疾病诊断中的应用价值*
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年4期
页码:
445-448
栏目:
临床研究
出版日期:
2019-04-05

文章信息/Info

Title:
Diagnositc value of vaginal ultrasonography and abdominal ultrasound in obstetrics and gynecology diseases
文章编号:
DOI: 10.3969/j.issn.10007377.2019.04.010
作者:
余红星; 张春玲
陕西省汉中市中心医院超声诊断科（汉中723000）
Author(s):
YU Hongxing; ZHANG Chunling.
Ultrasound Diagnosis Department,Hanzhong Central Hospital of Shaanxi(Hanzhong 723000)
关键词:
妇产科; 疾病诊断; 彩色多普勒超声; 经阴道; 经腹部; 价值分析
Keywords:
Key words Obstetrics and gynecology; Disease diagnosis; Color doppler ultrasound; Transvaginal; Transabdominal; Value analysis
分类号:
R71
文献标志码:
A
摘要:
摘 要 目的：探讨经阴道超声检查和经腹部超声检查两种途径在妇产科疾病诊断中的应用价值。方法：回顾性分析629例妇产科疾病患者的影像学资料。患者均经临床症状体征、腹部和阴道超声检查联合组织病理检查确诊。采用SPSS17.0软件对经腹部和经阴道超声检查结果与患者综合诊断结果进行对比分析。结果：629例妇产科疾病患者经阴道超声检查的诊断符合率达92.21%，经腹部超声检查相符合仅达到77.42%，两种超声检查途径的诊断符合率间差异存在统计学意义（P＜0.05），经阴道超声检查对子宫内膜病变、子宫肌瘤、子宫腺肌瘤、宫颈病变、卵巢疾病、宫腔残留、宫外孕诊断符合率均显著高于经腹部超声检查。经阴道超声检查对子宫内膜增生、子宫内膜炎、宫颈囊肿、宫颈肌瘤、宫颈息肉、宫颈肥厚、卵巢囊肿、输卵管妊娠诊断符合率显著高于经腹腔超声检查（P＜0.05）。但两种诊断途径对子宫内膜息肉、子宫内膜癌、子宫粘膜下肌瘤、子宫内膜钙化、子宫畸形、瘢痕子宫妊娠、宫颈癌、宫颈机能不全、黏膜下肌瘤、宫颈妊娠及卵巢癌的诊断符合率间差异无统计学意义（P＞0.05）。经阴道超声检查对妇产科癌症的诊断符合率显著高于经腹部超声检查（P＜0.05）。结论：经阴道超声检查作为一种快速、无创的辅助诊断方式，在妇产科疾病诊断中具有较高应用价值，可为妇产科疾病早期筛查诊断提供客观的诊断依据。
Abstract:
Abstract Objective: To explore the application value of transvaginal ultrasonography and transabdominal ultrasonography in the diagnosis of gynecological diseases.Methods:The imaging data of 629 of gynecological diseases were analyzed retrospectively.All patients were diagnosed by clinical symptoms and signs, abdominal and vaginal ultrasonography combined with pathological examination.The results of transabdominal and transvaginal ultrasonography were compared with the patient's comprehensive diagnosis using SPSS17.0 software.Results: According to the transvaginal ultrasonography of 629 patients with gynecological diseases, the diagnostic coincidence rate was 92.21%, and the abdominal ultrasound examination showed that the diagnostic results were only 77.42%,and there was a statistically significant difference between the two diagnostic criteria (P<0.05),Transvaginal ultrasonography was significantly higher than the diagnosis of endometrial lesions, uterine fibroids, uterine adenomyoma, cervical lesions, ovarian disease, intrauterine residual, and ectopic pregnancy.Transvaginal ultrasonography was significantly higher in the diagnosis of endometrial hyperplasia, endometritis, cervical cyst, cervical fibroids, cervical polyps, cervical hypertrophy, ovarian cysts, and tubal pregnancy than transperitoneal ultrasonography (P<0.05).However, there was no significant difference in the diagnostic ratetransvaginal ultrasonography and transabdominal ultrasonography for endometrial polyps, endometrial cancer, uterine submucosal fibroids, endometrial calcification, uterine malformations, scar uterine pregnancy, cervical cancer, cervical insufficiency, submucosal fibroidsbetween transvaginal ultrasonography and transabdominal ultrasonography (P>0.05).The diagnostic rate of vaginal ultrasound for gynecological cancer was significantly higher than that of abdominal ultrasound alone (P<0.05).Conclusion: Transvaginal ultrasonography as a rapid, noninvasive diagnostic method has high application value in the diagnosis of gynecological diseases, and can provide an objective diagnostic basis for early screening and diagnosis of obstetric and gynecological diseases.〖LM〗

参考文献/References:

[1] 刘祉君,张惠民,查 艳,等. 妇产科疾病中非典型溶血尿毒综合征13例临床分析[J]. 中国妇产科临床杂志,2017,18(1):65-66.
[2] 谭先杰. 郎景和院士谈妇产科疾病诊治现代观念与发展策略[J]. 中国实用妇科与产科杂志,2017,33(1):1-7.
[3] 周 琴,徐晓燕,蒋婧婧,等. 经阴道三维彩色多普勒超声在子宫腺肌病诊断及治疗中的应用价值[J]. 现代妇产科进展,2018,27(3):215-217.
[4] 庄碧惠. 彩色多普勒超声在妇科急腹症诊断中的临床应用价值[J]. 陕西医学杂志,2017,46(10):1447-1448.
[5] 廖彩华, 陈禄英, 林 丽,等. 子宫疤痕妊娠的经腹及经阴道彩色多普勒超声诊断价值分析[J]. 中国临床医学影像杂志, 2016, 27(1):42-44.
[6] 张 颖,洪林巍,王 昕. 彩色多普勒超声血流动力学参数预测胎儿窘迫临床意义研究[J]. 中国实用妇科与产科杂志,2018,34(1):110-113.
[7] 金日男, 许红雁, 钟永红,等. 血清甲胎蛋白联合彩色超声检查在胎盘植入产前诊断中的价值[J]. 现代妇产科进展, 2016, 25(8):611-613.
[8] 陈 瑛,陈 炜,雷 涛,等. 经阴道超声检查在多囊卵巢综合征诊断中的应用研究[J]. 陕西医学杂志,2015,44(7):833-834.
[9] 王 丽, 郭翠荣, 胡婠婧,等. 经腹、经阴道彩色多普勒超声和腔内探头经腹超声对剖宫产瘢痕妊娠的诊断价值[J]. 中国中西医结合影像学杂志, 2016, 14(2):215-217.
[10] 李元成,许映斌,丁 莹. 单纯经腹部超声检查与联合经阴道超声检查对子宫腺肌病的诊断价值分析[J]. 中国实验诊断学,2014,18(5):738-740.
[11] 卢展辉, 韦德湛, 郑玉华, 等.经腹三维超声与经阴道三维超声诊断先天性子宫畸形的对比研[J].中国现代药物应用, 2015, 9(23):41-42.
[12] 张 喻,侯小霞,王颖金,等. 经阴道彩色多普勒超声诊断卵巢癌的临床价值[J]. 中国肿瘤临床与康复,2015,22(7):776-778.
[13] 杨 杨. 经阴道超声检查法在妇产科疾病中的临床应用[J]. 华夏医院, 2015, 9(23):41-42.
[14] 张玉红. 经阴道超声检查对宫腔疾病的诊断意义[J]. 中国妇幼保健, 2010, 25(6):856-857.
[15] 黄 帆, 洪向丽, 郭丽丽. 经阴道超声在输卵管异位妊娠早期诊断中的应用价值[J]. 声学技术, 2016, 35(2):137-141.
[16] 贾群玲. 经阴道超声在女性盆腔疾病筛查中的应用[J]. 中国超声医学杂志, 2016, 32(12):1129-1132.
[17] 张焕萍，杨敏良.经腹部经阴道超声联合检查对妇科疾病诊断价值的探讨[J].陕西医学杂志，2006，35（6）：714-715.
[18] 张晓春.调理心神法诊治妇科疾病的思路探析[J]陕西中医，2003，24（11）：1012-1014.

备注/Memo

备注/Memo:
*陕西省科技计划项目 (20120019)
更新日期/Last Update: 2019-04-10