Lande I M, Hill M C, Cosco F E, Kator N N
Department of Radiology, George Washington University Medical Center, Washington, DC 20037.
Radiology. 1988 Feb;166(2):325-32. doi: 10.1148/radiology.166.2.3275977.
Sixty-seven patients selectively chosen from 354 undergoing conventional transabdominal (TA) sonography for evaluation of a clinically suspected adnexal mass subsequently underwent transvaginal (TV) sonography either because the TA sonograms were technically suboptimal or because it was not possible to characterize with certainty an abnormality identified with TA sonography. TV sonography added diagnostically useful information in 25 of 28 patients with cystic pathologic changes in the adnexa uteri. Eight of 12 patients with tuboovarian abscess and nonspecific adnexal masses visualized with TA sonography had tube-shaped fluid collections characteristic of pyosalpinx identified with TV sonography. TV sonography added diagnostically useful information in all seven patients with diseases of the cul-de-sac (rectouterine fossa) and allowed differentiation of adnexal from primary uterine disease in three patients with TA sonograms on which findings were equivocal. It also expedited the diagnosis of a tubal pregnancy in ten of 14 patients and was useful in the detection of adhesions and perforated intrauterine devices. These results indicate that adjunctive TV sonography can provide important diagnostic information.
从354例行常规经腹超声检查以评估临床怀疑附件包块的患者中，选择性选取67例患者，这些患者随后接受了经阴道超声检查，原因要么是经腹超声图像在技术上不理想，要么是无法确定经腹超声检查发现的异常情况的特征。在28例子宫附件有囊性病理改变的患者中，经阴道超声检查为25例增加了诊断有用信息。经腹超声检查显示为输卵管卵巢脓肿和非特异性附件包块的12例患者中，8例经阴道超声检查发现了输卵管积脓特征性的管状液性暗区。经阴道超声检查为所有7例道格拉斯窝（直肠子宫陷凹）疾病患者增加了诊断有用信息，并使3例经腹超声检查结果不明确的患者能够区分附件疾病与原发性子宫疾病。它还加快了14例患者中10例输卵管妊娠的诊断，并且有助于检测粘连和宫内节育器穿孔。这些结果表明，辅助性经阴道超声检查可以提供重要的诊断信息。
