Stadtmauer Laurel, Shah Akhil
Departments of Obstetrics and Gynecology, Eastern Virginia Medical School, The Jones Institute for Reproductive Medicine, Norfolk, Virginia.
Clin Obstet Gynecol. 2017 Mar;60(1):82-92. doi: 10.1097/GRF.0000000000000260.
Ultrasonography, especially 3D, is essential in the diagnosis and preoperative evaluation of gynecologic surgeries and is important in surgical planning and counseling of patients. In addition, it is useful during hysteroscopic procedures, particularly difficult Asherman syndrome cases, resection of transverse vaginal septum, and treatment of hematometria. 3D ultrasound is especially helpful for fibroid mapping as the simultaneous visualization of the endometrium and myometrium with the coronal view is possible, it can be done by the gynecologist and at a lower cost than an magnetic resonance imaging. The ability to visualize with ultrasound during surgery may reduce complications and eliminate the use of laparoscopy.
超声检查，尤其是三维超声，在妇科手术的诊断和术前评估中至关重要，对手术规划和患者咨询也很重要。此外，它在宫腔镜手术中很有用，特别是在治疗困难的阿谢曼综合征病例、切除阴道横隔以及治疗子宫积血时。三维超声对子宫肌瘤定位特别有帮助，因为可以通过冠状面同时观察子宫内膜和肌层，这可以由妇科医生操作，且成本低于磁共振成像。术中超声可视化的能力可能会减少并发症并避免使用腹腔镜检查。
