阴道超声对诊断治疗卵巢子宫内膜异位囊肿及子宫腺肌病的价值

目的探讨阴道超声及血清CA125测定对诊断治疗卵巢子宫内膜异位囊肿及子宫腺肌病的价值。方法对卵巢子宫内膜异位囊肿及子宫腺肌病患者631例进行回顾性分析，术前均经阴道超声检查，部分患者进行了血清CA125测定。结果阴道超声检查卵巢子宫内膜异位囊肿符合率98．7％；子宫腺肌病符合率91．7％；卵巢子宫内膜异位囊肿合并子宫腺肌病符合率95．1％。血清CA125检查卵巢子宫内膜异位囊肿，阳性率39．4％；子宫腺肌病阳性率52．2％；卵巢子宫内膜异位囊肿合并子宫腺肌病阳性率59．2％。结论阴道超声可做为较准确诊断卵巢子宫内膜异位囊肿及子宫腺肌病的首选方法。阴道超声下囊肿穿刺是治疗卵巢子宫内膜异位囊肿的简便、有效的方法之一。血清CA125测定可做为卵巢子宫内膜异位囊肿及子宫腺肌病的协助诊断方法，应进一步完善对照组的研究。

Evaluation of transvaginal sonography in the diagnosis and therapy of ovarian endometriosis and adenomyosis

Objective To evaluate the transvaginal sonography and serum CA 125 in the diagnosis and therapy of ovarian endometriosis and adenomyosis. Methods A total of 631 patients with endometriosis and/or adenomyosis were examined by transvaginal sonography and serum CA 125 mesurement.Some of them underwent ovarian cyst penetration with assistance of transvagianal sonography. Results The accurate rates of diagnosis with transvaginal sonography for ovary endometriosis cyst,adenomyosis and ovary endometriosis cyst complicated by adenomyosis were 98.7%,91.7% and 95.1%,respectively.While the diagnosis accuracies of serum CA 125 for the three groups were 39.4%,52.2% and 59.2%,respectively. Conclusions Transvaginal sonography can be the first choice to diagnose the ovarian endometriosis and adenomyosis correctly.The cyst penetration assisted by transvaginal sonography is one of the simple and effective methods to treat the ovary endometriosis cyst.Serum CA 125 is helpful in diagnosis of endometriosis and adenomyosis.