盆腔肿块的经腹及经阴道超声检查

Transabdominal and transvaginal sonography of pelvic masses.

作者信息

Fleischer A C, Gordon A N, Entman S S

机构信息

Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN 37232.

出版信息

Ultrasound Med Biol. 1989;15(6):529-33. doi: 10.1016/0301-5629(89)90184-1.

DOI:10.1016/0301-5629(89)90184-1

PMID:2678656

Abstract

Determination of the type of pelvic mass by pelvic sonography was improved significantly when a transvaginal study was performed after transabdominal sonography. Of 34 patients who underwent both studies, transvaginal sonography (TVS) was considered to add diagnostic information in 24 (70%); transabdominal sonography (TAS) was better than TVS in 4 (12%); TVS was equivalent to TAS in 5 (15%), and neither were accurate in 1 (3%). It is concluded that the use of transvaginal sonography as an adjunct to TAS is warranted for evaluating most pelvic masses; especially those confined to the true pelvis.

摘要

在经腹部超声检查后进行经阴道超声检查时，盆腔超声检查对盆腔肿块类型的判定有显著改善。在接受了这两种检查的34例患者中，经阴道超声检查（TVS）被认为在24例（70%）中增加了诊断信息；经腹部超声检查（TAS）在4例（12%）中优于TVS；TVS在5例（15%）中与TAS相当，而在1例（3%）中两者均不准确。结论是，经阴道超声检查作为TAS的辅助手段用于评估大多数盆腔肿块是必要的；尤其是那些局限于真骨盆的肿块。