中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
9期
40-42
,共3页
经阴道超声%经腹超声%妇科手术患者%临床价值比较
經陰道超聲%經腹超聲%婦科手術患者%臨床價值比較
경음도초성%경복초성%부과수술환자%림상개치비교
Transvaginal ultrasound%Transabdominal ultrasound%Patients having received gyne-cological surgery%Clinical value comparison
目的：对比分析经阴道和经腹超声在妇科手术患者的临床价值，选取简单、准确的超声检查方法。方法：选取我院463例妇科手术的患者，其中附件病变242例，子宫病变221例，手术前分别行经阴道和经腹部超声检查，比较两种超声检查方法的结果与临床病理的符合率。结果：经阴道超声检查有426例与临床病理结果一致，符合率92.00％，经腹部超声检查有334例与临床病理一致，符合率为72.14％，其中242例附件病变经阴道超声检查有211例与临床病理结果一致，符合率为87.19％，经腹部超声检查有147例与临床病理结果一致，符合率为60.74％；221例子宫病变经阴道超声检查有215例与临床病理结果一致，符合率为97.29％，经腹部超声检查有187例与临床病理结果一致，符合率为84.62％。结论：妇科手术患者用经阴道超声检查比经腹部超声检查结果更准确，特别是在附件病变中经阴道超声检查显著提高了疾病诊断率，临床可以在已婚女性中广泛使用。
目的：對比分析經陰道和經腹超聲在婦科手術患者的臨床價值，選取簡單、準確的超聲檢查方法。方法：選取我院463例婦科手術的患者，其中附件病變242例，子宮病變221例，手術前分彆行經陰道和經腹部超聲檢查，比較兩種超聲檢查方法的結果與臨床病理的符閤率。結果：經陰道超聲檢查有426例與臨床病理結果一緻，符閤率92.00％，經腹部超聲檢查有334例與臨床病理一緻，符閤率為72.14％，其中242例附件病變經陰道超聲檢查有211例與臨床病理結果一緻，符閤率為87.19％，經腹部超聲檢查有147例與臨床病理結果一緻，符閤率為60.74％；221例子宮病變經陰道超聲檢查有215例與臨床病理結果一緻，符閤率為97.29％，經腹部超聲檢查有187例與臨床病理結果一緻，符閤率為84.62％。結論：婦科手術患者用經陰道超聲檢查比經腹部超聲檢查結果更準確，特彆是在附件病變中經陰道超聲檢查顯著提高瞭疾病診斷率，臨床可以在已婚女性中廣汎使用。
목적：대비분석경음도화경복초성재부과수술환자적림상개치，선취간단、준학적초성검사방법。방법：선취아원463례부과수술적환자，기중부건병변242례，자궁병변221례，수술전분별행경음도화경복부초성검사，비교량충초성검사방법적결과여림상병리적부합솔。결과：경음도초성검사유426례여림상병리결과일치，부합솔92.00％，경복부초성검사유334례여림상병리일치，부합솔위72.14％，기중242례부건병변경음도초성검사유211례여림상병리결과일치，부합솔위87.19％，경복부초성검사유147례여림상병리결과일치，부합솔위60.74％；221례자궁병변경음도초성검사유215례여림상병리결과일치，부합솔위97.29％，경복부초성검사유187례여림상병리결과일치，부합솔위84.62％。결론：부과수술환자용경음도초성검사비경복부초성검사결과경준학，특별시재부건병변중경음도초성검사현저제고료질병진단솔，림상가이재이혼녀성중엄범사용。
Throughcomparingtheclinicalvalueoftransvaginalandtransabdominalultrasoundingyneco-logical differential diagnosis,to select a simple and accurate ultrasonic inspection method.Methods:463 patients having received gynecological surgery in our hospital,including 242 cases of accessory lesions and 221 cases of uter-ine disease,were selected and conducted transvaginal and transabdominal ultrasonography before surgery respective-ly.The coincidence rate of inspection results and clinical pathology of the two methods were compared.Results:For all the 463 patients,the coincidence rate of transvaginal ultrasound was 92.00%,while the coincidence rate of transabdominal ultrasound was 72.1 4%.For the 242 patients of accessory lesion,the coincidence rate of transvaginal ultrasound was 87.1 9%(21 1 patients),while the coincidence rate of transabdominal ultrasound was 60.74%(1 47 patients);for the 221 patients of uterine lesions,the coincidence rate of transvaginal ultrasound was 97.29%(21 5 patients),while the coincidence rate of transabdominal ultrasound was 84.62% (1 87 patients ).Conclusions:Transvaginal ultrasound is more accurate than transabdominal ultrasound in the examination of patients having re-ceived gynecologic surgery,especially for patients of accessory lesion,which can be widely used clinically in the married women.
