经腹及阴道超声联合诊断卵巢黄体破裂的应用探讨-东南大学学报医学版

经腹及阴道超声联合诊断卵巢黄体破裂的应用探讨

单位：中国医科大学附属第四医院超声科,辽宁沈阳 110032

分类号：R445.1;R711.75

出版年·卷·期（页码）：2013·32·第二期（192-195）

摘要：

目的:探讨经腹及经阴道超声联合使用在卵巢黄体破裂诊断方面的临床应用价值。方法:选取56例临床拟诊为卵巢黄体破裂的患者,对其联合使用经腹及经阴道超声检查,分析超声图像特征,结合病史进行诊断,与术后病理或治疗后图像进行对比分析。结果:56例患者中,超声诊断卵巢黄体破裂48例,诊断准确率为85.7%。超声图像分为3型:Ⅰ型(卵巢黄体伴血肿型)20例(41.7%),Ⅱ型(卵巢黄体囊肿伴血肿型)22例(45.8%),Ⅲ型(混合性包块型)6例(12.5%)。结论:经腹及经阴道超声联合使用对卵巢黄体破裂有较高的诊断准确率,是快速诊断该病及动态观察病情的首选检查方法,可为临床及时制定治疗方案提供重要的参考信息。

Objective: To estimate the clinical value of transabdominal and transvaginal ultrasound in diagnosing rupture of ovarian corepus luteum.Methods: The transabdominal and transvaginal ultrasound were performed on 56 patients with rupture of ovarian corepus luteum in emergency, and the results were compared with those of pathology after operation or treatment to analysis.Results: Among 56 ovariorrhexis patients,ultrasound correctly diagnosed 48 patients,the correctly diagnostic rate was 85.7%,and according to ultrasonic features of ovariorrhexis respectively, there were 41.7%(20/48) typeⅠ,45.8%(22/48) typeⅡ,12.5%(6/48) type Ⅲ.Conclusion: The combination of transabdominal ultrasound and transvaginal ultrasound diagnosing rupture of ovarian corepus luteum, the first choice for rapid diagnose and dynamic observing pathogenetic condition, ensures a higher correctly diagnostic rate and provides significant informations for diagnosis and treatment.

参考文献：

[1] 徐晓峰,李荣,周怀君.宫颈妊娠10例临床诊治分析[J].东南大学学报:医学版,2012,31(2):202-204.
[2] 陶桂梅,杨海侠,张美喜.阴道超声对不孕症中医治疗中卵泡监测及并发症预防的临床价值[J].现代医学,2010,38(2):167-169.
[3] 姜秀玲,姜秀丽.超声显像对卵巢黄体破裂的诊断价值[J].中国现代药物应用,2011,5(11):43.
[4] 黄莉.经阴道彩色多普勒超声对卵巢黄体破裂出血的诊断价值[J].实用医技杂志,2010,17(12):1135.
[5] 丁冬梅.29例急性卵巢黄体破裂的诊断与治疗分析[J].吉林医学,2011,32(36):7804.
[6] 于晓莉.妇科急腹症病因构成及临床特点分析[J].中国医药指南,2011,9(27):66-67.
[7] 于杰,李云华,李娜.卵巢黄体破裂110例临床诊治分析[J].福建医药杂志,2010,32(3):24-25.
[8] 薛勤,张炽敏,邹大中,等.经阴道彩色多普勒超声在化学药物保守治疗输卵管妊娠中的应用[J].现代医学,2009,37(2):132-135.
[9] FAUCONNIER A,MABROUK A,SALOMON L J,et al.Ultrasound assessment of haemoperitoneum in ectopic pregnancy:derivation of a prediction model[J].World J Emerg Surg,2007,2:23-29.
[10] 王维英,徐倩君,查文,等.彩色多普勒超声在输卵管妊娠保守治疗效果中的评价作用[J].东南大学学报:医学版,2010,29(4):453-456.

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