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

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。

Clinical Value of Transabdominal and Vaginal Color Doppler Ultrasonography in Diagnosis of Fallopian Tube Effusion

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.