经阴道超声诊断输卵管炎性疾病价值研究

摘要

Objective:To investigate the value of transvaginal ultrasound in the diagnosis of salpingitis disease. Methods:200 patients with salpingitis disease treated in gynecology clinic in our hospital from March 2012 to March 2013 were chosen as the research object. All patients were all taken abdominal ultrasound and transvaginal ultrasound examination. The results of the two methods of examination and surgical histopathology results and the results of comprehensive clinical examination were compared. And then judged the accuracy rate of both methods, compared the pros and cons of both approaches. Evaluated comprehensively the value of transvaginal ultrasound in the diagnosis of salpingitis disease. Results:The results showed that there were 44 patients with clinical signs of drug treatment after diagnosis in 156 patients diagnosed after surgery by patholog-ical examination. Transvaginal ultrasound examination and abdominal ultrasound diagnosis and clinical and pathological diagnosis were compared. The accuracy rate of two methods were 95.5% and 80.5% respectively, there's significant difference, P<0.05. The detection rates of two methods for different types of patients with salpingitis disease were compared. The detection rate of 21 cases of obese patients with transvaginal ultrasound was 92%, and the detection rate was 47.6% by abdominal ultrasound. The detection rates of 31 cases of ab-dominal scar detected by transvaginal ultrasound were 91%, and the detection rate was 38.7% by abdominal ultrasound. There were significantly difference, P<0. 05. There was statistically significant. Conclusion:Transvaginal ultrasound diagnosis of salpingitis disease is with high accuracy, wide application, simple, quick advantage, and it has important clinical value.%目的：探讨经阴道超声在诊断输卵管炎性疾病的价值。方法：选择我院妇科门诊2012年3月至2013年3月期间,收治的200例输卵管炎性疾病患者,作为研究对象。所有患者均进行经腹部超声检查和经阴道超声检查。将两种方法的检查结果和手术病理组织检查结果及临床综合检查结果相比较,判断两种方法的诊断符合率,比较两种方法的优劣,综合分析经阴道超声在诊断输卵管炎性疾病方面的价值。结果：研究结果显示,156例患者经手术后病理组织检查确诊,44例患者以药物治疗后临床体征确诊。经阴道超声检查和经腹部超声检查与病理诊断及临床综合诊断结果比较,两者的符合率分别为：95.5％与80.5％,差异具有统计学意义( P 值<0.05)；比较两种方法对不同类型患者的输卵管炎性疾病检出率,21例肥胖患者经阴道超声检出率为92％,经腹部超声检出率为47.6％；31例腹部瘢痕者经阴道超声检出率为91％,经腹部超声检出率为38.7％,差异具有统计学意义( P 值<0.05)。结论：经阴道超声诊断输卵管炎性疾病具有准确率高、适用范围广、操作简便、快捷的优点,具有重要的临床应用价值。