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经阴道超声诊断宫腔粘连的初步研究
http://www.100md.com 《中国超声医学杂志》 2000年第9期
宫腔粘连|经阴道超声检查,关键词:
     杨志伟 周世英 杨太珠 张晓莉 罗红 郭文琪 杨志伟(大庆油田总医院);周世英 杨太珠 张晓莉 罗红 郭文琪(华西医科大学附属二院B超室,成都市,610041) 中国超声医学杂志 2000 0 16 9


    关键词:宫腔粘连;经阴道超声检查 期刊 zgcsyxzz 0 699-701 临床研究 fur -->


    

摘 要 目的:评价子宫腔粘连的声像学特征。方法:对53例宫腔粘连的患者进行经阴道超声检查,观察其子宫内膜及宫腔的改变。结果:根据53例宫腔粘连患者的声像图表现分为四型:Ⅰ型:可见不规则的低回声区或低回声带,使宫内膜部分不连续,病变范围小于二分之一宫腔,共35例;Ⅱ型:宫内膜显示欠佳,可见多处不规则低回声区,病变范围大于二分之一宫腔,共6例;Ⅲ型:宫腔轻度积液,分离宫腔内见稍高回声带与宫腔前后壁相连,共10例;Ⅳ型:宫腔重度积液,共2例。结论:经阴道超声检查可作为诊断宫腔粘连的一种新的检查方法,并对临床治疗的选择有指导意义。

The preliminary research ofintrauterine adhesions by transvaginal ultrasonography

Yang Zhiwei,Zhou Shiying,Yang Taizhu,etal

    (No.2 Affiliated Hospital,West China University of Medical Sciences,Chengdu,610041 China)

ABSTRACT Objective:To investigatesonographic features of intrauterine adhesions.Methods:Fiffythree women withintrauterine adhesions undertook transvaginal ultrasonography to observe changes ofendometrium and uterine cavity.Results:The patients were divided into four types accordingto sonographic features,type I,35 patients:endometrial image of less than half part ofuterine cavity was interrupted by irregular hypoechoic bands or patches;type Ⅱ,6patients:endometrium of whole uterine cavity was illegible with several irregularhypoechoic areas;type Ⅲ,10 patients:echogenic band demonstrated in echo-free areaseparated the anterior and posterior walls of uterine cavity;type Ⅳ,2 patients:uterinecavity filled with a large quantity of effusion.Conclusions:Transvaginal ultrasonographyis a method for diagnosing intrauterine adhesions,and it is significant for guidingclinical treatment.

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