摘要
目的探讨女性生殖器结核的超声图像特征及诊断要点。方法术前密切结合临床病史、症状及X线检查资料,对经腹壁、经阴道二维超声或经腹壁与经阴道联合超声检查的69例女性生殖器结核患者的盆腹腔病灶超声图像与手术病理检查结果进行综合分析。结果 69例患者中生育期58例(84.1%),来自农村41例(59.4%),主诉盆腔包块34例(49.3%)。其中63例(91.3%)盆腹腔二维超声显示异常,其声图像特征:(1)盆腔肿块58例(92.1%),实性肿块21例,内部或周边均可见细小点状及斑状强回声,后方无明显声影。(2)腹水28例(44.4%),6例腹水内见带状回声呈广泛网格样分布。(3)包裹性积液22例(34.9%),6例积液内伴点状、带状强回声。(4)子宫内膜回声异常35例(55.6%),3例内膜回声在宫腔积液的衬托下呈锯齿状不规则增厚。(5)输卵管回声异常6例(9.5%)。(6)大网膜回声异常14例(22.2%)。(7)腹膜增厚中腹腔腹膜增厚16例、盆腔腹膜增厚14例,盆腔腹膜欠规则增厚呈锯齿状、粟粒样结节回声改变。盆腹腔病灶内见各超声图像多交织、伴随存在。69例中6例(8.7%)不孕患者盆腹腔超声图像未显示异常,术中发现6例均为粘连型结核性盆腔炎。结论女性生殖器结核患者的盆腹腔超声图像呈多样性,熟悉其超声图像特征性表现,详细询问病史,密切结合临床并对患者行全面系统盆腹腔超声检查,可为临床早期积极干预治疗女性生殖器结核病提供诊断依据。
Objective To analyze the ultrasound manifestation feature and key diagnosis crinteria of female genital tuberculosis.Methods Combined with the clinical data,symptoms and X-ray examination before operation,69 cases of infertile patients were performed a complete inspection of abdominopelvic cavity by trans-abdomen (and/or vaginal) ultrasound ,which were compared with the results of operation and pathology.Results Sixty-nine cases of patients includes 84.1% of women in reproductive years,59.4% of rural reside...
出处
《中华医学超声杂志（电子版）》
2011年第4期794-804,共11页
Chinese Journal of Medical Ultrasound(Electronic Edition)
关键词
女性生殖器结核
超声检查
Female genital tuberculosis
Ultrasonography
