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经阴道超声检查在尼日利亚伊巴丹对女性来说是可行且普遍可接受的:一项新服务第一年的经验。

Transvaginal sonography is feasible and universally acceptable to women in Ibadan, Nigeria: experience from the 1st year of a novel service.

作者信息

Bello Folasade A, Odeku Adeola O

机构信息

Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

Ann Afr Med. 2015 Jan-Mar;14(1):52-6. doi: 10.4103/1596-3519.148740.

DOI:10.4103/1596-3519.148740
PMID:25567696
Abstract

BACKGROUND

Transvaginal sonography (TVS) is the standard route for gynecological and early pregnancy assessment scanning, due to the higher resolution that allowed for a better view of the pelvis. It had not been available in the study area prior to this, and it was anticipated that clients would find it intrusive and unacceptable, and thus decline it. The study was aimed at accessing the acceptability of TVS in women.

METHOD

A cross-sectional study of all clients who presented for gynecological and early pregnancy assessment scans at a private ultrasound diagnostic center in Nigeria during its 1st year of service. All suitable clients were counseled for TVS. This was carried out for them, while nonconsenters had transabdominal sonography. A questionnaire was administered to the consenting participants. Virgins and women currently experiencing heavy vaginal bleeding were excluded. Data were entered into SPSS-16 and analyzed with frequency tables.

RESULTS

Five hundred and seventy-seven women of varied demographic characteristics were included into the study. Only one (i.e., 1/577; 0.2%) declined TVS. The procedure was abandoned in one (i.e., 1/576; 0.2%) due to severe discomfort. All 575 that completed the examination stated they would accept TVS again in the future, if indicated.

CONCLUSIONS

TVS was universally accepted by a diverse population of women in South-Western Nigeria. It is recommended that ultrasound scan providers in this location should acquire skills for it, if necessary, and that TVS be offered routinely for gynecological evaluation according to international standards.

摘要

背景

经阴道超声检查(TVS)是妇科和早期妊娠评估扫描的标准途径,因为其分辨率更高,能更好地观察盆腔情况。在此之前,该检查在研究区域尚未开展,预计患者会觉得它具有侵入性且难以接受,从而拒绝接受。本研究旨在评估女性对经阴道超声检查的接受程度。

方法

对尼日利亚一家私人超声诊断中心服务第一年期间前来进行妇科和早期妊娠评估扫描的所有患者进行横断面研究。对所有合适的患者进行经阴道超声检查的咨询。为他们实施了该检查,而不同意的患者则接受经腹超声检查。对同意参与的患者发放了问卷。处女和目前有大量阴道出血的女性被排除在外。数据录入SPSS-16并通过频率表进行分析。

结果

577名具有不同人口统计学特征的女性纳入了研究。只有1名女性(即1/577;0.2%)拒绝接受经阴道超声检查。有1名女性(即1/576;0.2%)因严重不适而放弃了该检查。所有完成检查的575名女性表示,如果有需要,她们将来会再次接受经阴道超声检查。

结论

在尼日利亚西南部,经阴道超声检查被不同人群的女性普遍接受。建议该地区的超声检查提供者如有必要应掌握此项技能,并按照国际标准常规提供经阴道超声检查用于妇科评估。

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