经腹与经阴道彩色多普勒超声检查对盆腔瘀血综合征诊断价值比较

目的探讨经腹与经阴道彩色多普勒超声技术（TACDU、TVCDU）对盆腔瘀血综合征（PV）的诊断价值。方法运用两种检查方法对60例PV患者检测病变范围和病变程度，并与手术对照，比较两者的诊断价值。结果PV组静脉内径、静脉丛范围、静脉血流速度均高于正常组（t=2．214，2．310，2．340，均P〈0．05）；TVCDU对PV的诊断符合率91．6％，明显高于TACDU80．0％（X2=3．794，P〈0．05），轻度者盆腔静脉血流速度（8．5±2．5）cm／s明显高于重度（4．6±2．7）cm/s（t=2．378，P〈0．05）。结论经腹彩色多普勒超声对PV的诊断有重要的临床价值，阴道超声明显优于经腹超声检查。

Comparison of diagnostic value between transabdominal and transvagine color doppler ultrasonography in pelvic varicosis

Objective To study the diagnostic value of transabdominal color doppler ultrasonography (TACDU) and transvagino color doppler ultrasonography (TVCDU) in patients with pelvic varicosis (PV).Methods 60 patients with PV were detected by using TACDU and TVCDU respecticely,and the diagnostic value between the two ways were compared. Operational results was used as standard, and the degree of lesion in patients with PV was evaluated based on the results of surgery. Results The venous inside diameter、venous plexus,venous blood flow velocity in PV group were higher than the normal group(t = 2.214,2.310,2. 340, all P ＜ 0.05); The diagnosis rate 91.6% in TVCDU was significantly higher than80.0% in TACDU (χ2 = 3. 794, P ＞ 0.05); The pelvic venous flow velocity(8. 5 ± 2.5)cm/s in mild degree was higher than that (4.6 ± 2.7) cm/s in severe degree (t = 2.378,P ＜ 0. 05). Conclusion The transabdominal color Doppler ultrasound in the diagnosis of pelvic congestion syndrome had important clinical value, transvaginal sonography was superior to transabdominal ultrasound.