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目的:探讨经阴道超声检查对盆腔炎症的诊断价值。方法:回顾性分析87例超声诊断盆腔炎症的患者,比较治疗前及治疗后经阴道超声检查资料。结果:87例初步诊断为盆腔炎症患者,经抗感染治疗和术后病理证实73例,低位化脓性阑尾炎脓肿形成及恶性肿瘤等误诊为盆腔炎症14例,诊断符合率为83.9%。29例盆腔炎性包块,正确分类诊断20例,诊断符合率68.9%,其中输卵管积脓和输卵管卵巢积脓11例,盆腔脓肿形成9例,27例输卵管积水,其中手术证实经阴道超声正确诊断22例,诊断符合率81.5%。结论:经阴道超声对盆腔炎症诊断和指导治疗有很高的价值。
Objective: To investigate the value of transvaginal ultrasonography in the diagnosis of pelvic inflammatory disease. Methods: A retrospective analysis of 87 cases of ultrasound diagnosis of pelvic inflammatory disease in patients before and after treatment transvaginal ultrasound data. Results: Of the 87 patients with pelvic inflammatory disease, 73 cases were confirmed by anti-infective and postoperative pathology, 14 cases were diagnosed as pelvic inflammatory disease by misdiagnosis of low suppurative appendicitis abscess and malignant tumor, the diagnostic coincidence rate was 83.9%. 29 cases of pelvic inflammatory mass, the correct classification of the diagnosis of 20 cases, the diagnostic coincidence rate of 68.9%, including tubal empyema and tubal ovarian empyema in 11 cases, pelvic abscess formation in 9 cases, 27 cases of hydrosalpinx, of which surgery confirmed transvaginal ultrasound Correct diagnosis of 22 cases, the diagnostic coincidence rate of 81.5%. Conclusion: Transvaginal ultrasound has great value in the diagnosis and treatment of pelvic inflammatory disease.