Weissman A M, Barloon T J
Department of Family Practice, University of Iowa College of Medicine, Iowa City 52242, USA.
Am Fam Physician. 1996 May 1;53(6):2065-72.
Compared with transabdominal pelvic ultrasonography, transvaginal ultrasonography provides improved resolution for visualization of female pelvic organs, with less artifact. Transvaginal ultrasonography has superseded the transabdominal approach in many situations. Identification of uterine and adnexal masses can be facilitated with use of transvaginal ultrasonography. Transvaginal ultrasonography is also useful in the evaluation of pelvic pain and suspected pelvic inflammatory disease. Postmenopausal patients with vaginal bleeding or a palpable ovary can be triaged on the basis of transvaginal ultrasonographic findings, avoiding invasive diagnostic procedures in selected patients. Screening average-risk patients for ovarian cancer is not an accepted indication for transvaginal ultrasonography at this time.
与经腹盆腔超声检查相比，经阴道超声检查能提高女性盆腔器官可视化的分辨率，伪像更少。在许多情况下，经阴道超声检查已取代了经腹检查方法。使用经阴道超声检查有助于识别子宫和附件肿块。经阴道超声检查在评估盆腔疼痛和疑似盆腔炎性疾病方面也很有用。对于绝经后出现阴道出血或可触及卵巢的患者，可根据经阴道超声检查结果进行分类，避免对部分患者进行侵入性诊断程序。目前，经阴道超声检查并不作为对平均风险患者进行卵巢癌筛查的公认指征。
