Estroff J A
Harvard Medical School, Boston, Massachusetts, USA.
Radiol Clin North Am. 1997 Jul;35(4):921-57.
In conclusion, sonography plays a central role in imaging the obstetric and gynecologic emergencies of babies, girls, and adolescents. Transabdominal and transvaginal sonography each have their respective and combined strengths, which depend on the age, size, anatomy, and social and clinical situation of the patient to be imaged. With recent advances in sonographic technology, especially in the current use of higher-frequency transducers and the promise of three-dimensional imaging, we are undoubtedly seeing more anatomy and pathology, and seeing it more clearly. In the sexually mature patient, transvaginal sonography provides an exceptional view of the normal uterus and adnexae and the myriad presentations of pelvic pathology. This article has reviewed the sonographic techniques that can be used in imaging the pediatric and adolescent pelvis, and has emphasized some of the many pathologic conditions that can be elucidated by pelvic sonography.
总之，超声检查在对婴儿、女童及青少年的妇产科急症进行成像方面发挥着核心作用。经腹超声和经阴道超声各有其独特及联合应用的优势，这取决于待成像患者的年龄、体型、解剖结构以及社会和临床情况。随着超声技术的最新进展，尤其是当前高频换能器的应用以及三维成像的前景，我们无疑能够看到更多的解剖结构和病理情况，而且看得更清楚。在性成熟患者中，经阴道超声能提供关于正常子宫、附件以及盆腔病理多种表现的绝佳视野。本文回顾了可用于儿科及青少年盆腔成像的超声技术，并着重介绍了一些可通过盆腔超声阐明的众多病理状况。
