CAJ | 학술논문

目的探讨经阴道超声对卵巢血肿的临床诊断价值,提高卵巢血肿临床诊断的准确性,降低误诊率.方法选取我院妇科检查疑为卵巢血肿患者105例,均因腹痛、肛门坠胀感或阴道有少许新鲜血液流出就诊,年龄17～ 44岁,平均(35.6±8.9)岁.分别进行经阴道、直肠和经腹式超声检查,记录卵巢内肿块大小并描述其声像图特征及血流特点,分别在第1、2、3、6个月复查,均记录结果,若肿块消失者即为卵巢血肿,不消失者行手术治疗,追踪其病理结果.结果经病理及临床随访结果最终诊断卵巢血肿者共88例,其中,包块最大者为6.3 cm×5.9 cm,最小者为2.0 cm×1.5 cm.经阴道超声确诊的有84例,误诊4例,经腹式超声确诊的有74例,误诊14例.经阴式及经腹式诊断卵巢血肿的灵敏性分别为94.3%、89.8%,特异性分别为88.2%、70.6%.结论经阴道超声可以明显提高卵巢血肿的诊断率,降低误诊率.
목적 탐토경음도초성대란소혈종적림상진단개치,제고란소혈종림상진단적준학성,강저오진솔.방법 선취아원부과검사의위란소혈종환자105례,균인복통、항문추창감혹음도유소허신선혈액류출취진,년령17～ 44세,평균(35.6±8.9)세.분별진행경음도、직장화경복식초성검사,기록란소내종괴대소병묘술기성상도특정급혈류특점,분별재제1、2、3、6개월복사,균기록결과,약종괴소실자즉위란소혈종,불소실자행수술치료,추종기병리결과.결과 경병리급림상수방결과최종진단란소혈종자공88례,기중,포괴최대자위6.3 cm×5.9 cm,최소자위2.0 cm×1.5 cm.경음도초성학진적유84례,오진4례,경복식초성학진적유74례,오진14례.경음식급경복식진단란소혈종적령민성분별위94.3%、89.8%,특이성분별위88.2%、70.6%.결론 경음도초성가이명현제고란소혈종적진단솔,강저오진솔.
Objective To explore the value of transvaginal ultrasound in diagnosing ovarian hematoma in order to raise its accuracy and to lower misdiagnosis rate.Methods All 105 patients (range from 17 to 44 years old,with the average age of 35.6±8.9) who visited our hospital for abdominal pain,straining feeling in anus or a little fresh vaginal bleeding were suspected to with ovarian hematoma.Transvaginal ultrasound and transabdominal ultrasound were used to observe the ovary mass size,sonogram features and bloodstream distribution,and rechecked the lesions 1,2,3 and 6 months later.We presumed the absent masses were ovarian hematomas and followed the pathology results of the present masses.Results Among the 88 patients with ovarian hematoma diagnosed by pathology or clinical follow-up,the mass size ranged from 6.3 cm×5.9 cm to 2.0 cm×1.5 cm.Transvaginal ultrasound diagnosed out 84 cases and misdiagnosed 4 cases,while transabdominal ultrasound diagnosed out 74 cases and misdiagnosed 14 cases.The sensitivity and specificity of transvaginal and transabdominal ultrasound were 94.3% vs 88.2% and 89.8% vs 70.6%,respectively.Conclusions Transvaginal ultrasound could significantly increase the diagnostic accuracy of ovarian hematoma.