Department of Obstetrics and Gynaecology, University of Tübingen, Tübingen, Germany.
Prof. Tutschek, Prenatal Zürich, Zürich, Switzerland.
Ultraschall Med. 2022 Apr;43(2):146-158. doi: 10.1055/a-1663-6322. Epub 2021 Nov 8.
Gynecological sonography is the central and most frequently used technical examination method used by gynecologists. Its focus is on the clarification of masses of the uterus and the adnexa, fertility diagnosis, clarification of bleeding disorders and chronic and acute pelvic problems, pelvic floor and incontinence diagnosis as well as the differential diagnosis of disturbed early pregnancy. The indication for diagnostic and therapeutic interventions, preoperative planning and postoperative controls are largely based on the findings of gynecological sonography. These examinations are particularly dependent on the experience of the examiner.Based on the proven multi-stage concept of obstetric diagnostics, gynecological sonography should primarily be performed by an experienced and specialized examiner in patients for whom the initial gynecological examinations have not yet led to a sufficient assessment of the findings. So that the expert status required for this has an objective basis, the Gynecology and Obstetrics Section of DEGUM in cooperation with ÖGUM and SGUM implemented the option of acquiring DEGUM Level II for gynecological sonography. The effectiveness of the care in the multi-level concept depends on the quality of the ultrasound examination at level I. Quality requirements for the basic examination and the differentiation between the basic and further examination have therefore already been defined by DEGUM/ÖGUM. The present work is intended to set out quality requirements for gynecological sonography of DEGUM level II and for the correspondingly certified gynecologists.Common pathologies from gynecological sonography and requirements for imaging and documentation are described.
妇科超声检查是妇科医生最常用的核心技术检查方法。其重点是明确子宫和附件的肿块、生育诊断、出血性疾病的明确诊断、慢性和急性盆腔问题、盆底和尿失禁诊断以及早期妊娠紊乱的鉴别诊断。诊断和治疗干预、术前规划和术后控制的指征在很大程度上基于妇科超声检查的结果。这些检查特别依赖于检查者的经验。基于已证实的产科诊断多阶段概念，对于初始妇科检查尚未足以评估发现的患者，应由经验丰富且专业的检查者进行妇科超声检查。为了使这方面的专家地位具有客观依据，德国妇产科超声学会（DEGUM）与奥地利妇产科超声学会（ÖGUM）和美国妇产科超声学会（SGUM）合作，实施了获取 DEGUM 二级认证的选项。多层面概念中的护理效果取决于一级超声检查的质量。因此，DEGUM/ÖGUM 已经定义了基本检查的质量要求以及基本检查和进一步检查之间的区别。本工作旨在为 DEGUM 二级的妇科超声检查和相应认证的妇科医生规定质量要求。描述了常见的妇科超声检查病理和成像及文档记录的要求。
