经腹部联合阴道彩色多普勒超声诊断输卵管积液的临床价值(1)
摘 要：目的 分析输卵管积液的超声表现，探讨经腹部超声结合经阴道彩色多普勒超声诊断输卵管积液的诊断价值。方法 回顾分析我院2013年1月～2016年12月住院及病理证实的输卵管积液患者62例，在膀胱适度充盈的情况下，先经腹部超声扫查子宫、卵巢及附件区，发现附件区有囊性回声，再经阴道超声补充扫查，重点观察积液的位置、大小、形态及血流情况。结果 62例经临床手术病理证实输卵管积液，其中输卵管积水53例，输卵管积脓9例。结论 输卵管积液具有典型的声像图特点，经腹部联合经阴道超声彩色多普勒检查，是诊断输卵管积液的可靠方法。
关键词：输卵管积液;腹部超声;经阴道超声;彩色多普勒
中图分类号：R445.1;R714.22 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.057
, 百拇医药
文章编号：1006-1959(2018)05-0158-02
Clinical Value of Transabdominal and Vaginal Color Doppler Ultrasonography in Diagnosis of Fallopian Tube Effusion
DONG Qin，GU Xiao-qing，SHEN Chun-ming
(Department of Ultrasound，Shengze Hospital，Jiangsu Provincial People's Hospital，Suzhou 215228，Jiangsu，China)
Abstract：Objective To analyze the ultrasonographic manifestations of fallopian tube effusion and discuss the diagnostic value of transabdominal ultrasound combined with transvaginal color Doppler ultrasound in the diagnosis of fallopian tube effusion.Methods 62 cases of tubal effusion confirmed by pathology from January 2013 to December 2016 in our hospital were retrospectively analyzed. Under the condition of moderate bladder filling，the uterus，ovary and adnexal area were examined by transabdominal ultrasound，and cystic echo was found in the adnexal area.The location，size，shape and blood flow of the effusion were observed.Results 62 cases of hydrosalpinx were confirmed by clinical operation and pathology，including 53 cases of hydrosalpinx and 9 cases of fallopian tubal pus. Conclusion The hydrosalpinx has typical sonographic features and transabdominal combined with transvaginal color Doppler ultrasound examination.It is a reliable method for diagnosis of fallopian tube effusion.
, 百拇医药
Key words：Fallopian tube effusion;Abdominal ultrasound;Transvaginal ultrasound;Color Doppler
輸卵管积液(fallopian tube effusion)是妇科常见的疾病，各种原因引起的子宫内膜炎症上行感染，引起输卵管黏膜炎，输卵管黏膜肿胀，间质水肿，充血及大量中性粒细胞浸润，引起输卵管黏膜粘连，导致输卵管管腔及伞端闭锁，若有脓液积聚在管腔中，则形成输卵管积脓[1]。
1资料与方法
1.1一般资料 回顾分析江苏盛泽医院2013年1月～2016年12月住院及病理证实的输卵管积液患者62例，其中输卵管积水53例(左侧22例，右侧18例，双侧13例)，输卵管积脓9例(左侧3例，右侧3例，双侧3例)。
1.2仪器设备 使用GE公司生产的voluson E6 彩色多普勒超声诊断仪，腹部探头频率3～5 MHz，阴道探头频率9 MHz。
1.3方法 患者适度充盈膀胱，仰卧位于耻骨联合上方先行经腹部超声检查，采用横切、纵切和斜切相结合的方法仔细检查子宫、双侧卵巢及附件区，若发现附件区有囊性回声，再取截石位经阴道超声检查，重点观察囊性回声的来源、位置、大小、形态及彩色血流情况，分析囊性回声与卵巢、输卵管的关系，采集最佳图像并进行分析测量。, http://www.100md.com(董芹 顾晓清 沈春明)
关键词：输卵管积液;腹部超声;经阴道超声;彩色多普勒
中图分类号：R445.1;R714.22 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.057
, 百拇医药
文章编号：1006-1959(2018)05-0158-02
Clinical Value of Transabdominal and Vaginal Color Doppler Ultrasonography in Diagnosis of Fallopian Tube Effusion
DONG Qin，GU Xiao-qing，SHEN Chun-ming
(Department of Ultrasound，Shengze Hospital，Jiangsu Provincial People's Hospital，Suzhou 215228，Jiangsu，China)
Abstract：Objective To analyze the ultrasonographic manifestations of fallopian tube effusion and discuss the diagnostic value of transabdominal ultrasound combined with transvaginal color Doppler ultrasound in the diagnosis of fallopian tube effusion.Methods 62 cases of tubal effusion confirmed by pathology from January 2013 to December 2016 in our hospital were retrospectively analyzed. Under the condition of moderate bladder filling，the uterus，ovary and adnexal area were examined by transabdominal ultrasound，and cystic echo was found in the adnexal area.The location，size，shape and blood flow of the effusion were observed.Results 62 cases of hydrosalpinx were confirmed by clinical operation and pathology，including 53 cases of hydrosalpinx and 9 cases of fallopian tubal pus. Conclusion The hydrosalpinx has typical sonographic features and transabdominal combined with transvaginal color Doppler ultrasound examination.It is a reliable method for diagnosis of fallopian tube effusion.
, 百拇医药
Key words：Fallopian tube effusion;Abdominal ultrasound;Transvaginal ultrasound;Color Doppler
輸卵管积液(fallopian tube effusion)是妇科常见的疾病，各种原因引起的子宫内膜炎症上行感染，引起输卵管黏膜炎，输卵管黏膜肿胀，间质水肿，充血及大量中性粒细胞浸润，引起输卵管黏膜粘连，导致输卵管管腔及伞端闭锁，若有脓液积聚在管腔中，则形成输卵管积脓[1]。
1资料与方法
1.1一般资料 回顾分析江苏盛泽医院2013年1月～2016年12月住院及病理证实的输卵管积液患者62例，其中输卵管积水53例(左侧22例，右侧18例，双侧13例)，输卵管积脓9例(左侧3例，右侧3例，双侧3例)。
1.2仪器设备 使用GE公司生产的voluson E6 彩色多普勒超声诊断仪，腹部探头频率3～5 MHz，阴道探头频率9 MHz。
1.3方法 患者适度充盈膀胱，仰卧位于耻骨联合上方先行经腹部超声检查，采用横切、纵切和斜切相结合的方法仔细检查子宫、双侧卵巢及附件区，若发现附件区有囊性回声，再取截石位经阴道超声检查，重点观察囊性回声的来源、位置、大小、形态及彩色血流情况，分析囊性回声与卵巢、输卵管的关系，采集最佳图像并进行分析测量。, http://www.100md.com(董芹 顾晓清 沈春明)