摘要
目的：分析盆腔肿块患者的临床资料，探讨经阴道彩超引导下诊断盆腔肿块患者的应、用价值。方法：采用回顾性分析研究方法，收集我科2009—2010年间120例盆腔肿块住院病例。排空膀胱，患者取膀胱截石位，应用彩色超声诊断仪，将套上避孕套并涂耦合剂的阴式探头缓慢放入阴道内进行连续扫描。结果：经诊断患者异位妊娠33例、子宫平滑肌瘤19例、卵巢浆（或）粘液性囊腺瘤11例、卵巢囊肿24例、卵巢畸胎瘤18例、卵巢癌3例、宫颈癌4例、子宫内膜癌8例；彩超诊断符合率分别为97．0％、89．5％、90．0％、100．0％、100．0％、100．0％、100．0％、87．5％，总的诊断符合率达95．8％。病例彩超诊断与临床病理诊断的符合率之间差异无统计学意义（P〉0．05）。结论．临床上应合理利用阴道彩超，使其能更好地指导临床诊断和治疗，提高盆腔肿块的诊断符合率，避免漏诊和误诊的现象。
Objective：Analysis the clinical data of patients with pelvic mass to explore the value of color doppler uhrasonography. Methods：The method were analyzed retrospectively, collected 120 eases with pelvic mass in hospital. Used color doppler uhrasonog- raphy by vaginal to scan continuously. Results：The patients with diagnosis of ectopie pregnancy 33 cases, uterine leiomyoma 19 cases, ovarian plasma （or） mueinous tumor 11 cases, ovarian cyst 24 cases, ovarian teratoma 18 cases,3 cases of oarian cancer, 4 cases of cervical cancer, 8 cases of endometrial cancer. Color dopplar ultrasound diagnosis coincidence rate were 97.0%, 89. 5%, 90%, 100.0%, 100.0%, 100%, 100.0%, 87.5%, and the diagnostic accordance rate of 95.0%. Color dopplar ultrasound diagnosis and clinical cases pathological diagnosis accuracy is no statistical difference between them （P 〉 0.05）. Conclusion： Use vaginal rationally, should make it better to guide clinical diagnosis and treatment, improve the diagnostic accordance rate of pelvic mass, avoid misdiagnosis and missed the phenomenon.
出处
《按摩与康复医学》
2011年第33期30-31,共2页
Chinese Manipulation and Rehabilitation Medicine
关键词
阴道
彩超
盆腔肿块
诊断
Vaginal Color doppler uhrasonography
Pelvic mass Diagnosis
