经阴道超声检查诊断输卵管积液

目的 评价经阴道超声检查（TVS）诊断输卵管积液的临床价值。方法 经子宫输卵管造影术或腹腔镜手术证实的输卵管积液患者434例，共550个病灶。术前分别以双盲法进行常规妇科检查、经腹部超声检查及TVs检查，并对检查结果进行比较。结果 经阴道超声栓查正确诊断434例，栓出病灶550个，误诊3个，诊断准确率为99．7％。经腹部超声检查正确检出病灶494个，漏诊56个，误诊15个，诊断准确率为91．9％。常规妇科检查正确检出病灶314个，漏诊236个，误诊27个，诊断准确率为69．9％。3种方法的诊断准确率比较，有明显的不同，差异具有统计学意义。结论 TVS检查对输卵管积液的诊断准确率高（99．7％）．有较高的临床实用价值。

Diagnosis of sactosalpinx by transvaginal ultrasound inspection

Objective To evaluate the clinical value of transvaginal ultrasound inspection for diagnosis of sactosalpinx.Methods Four hundreds and thirty-four patients with sactosalpinx were confirmed by uterus-salpinx lipiodolography or laparoscopic operation with 550 focuses of disease.The gynecologic conventional examination,abdominal ultrasound and transvaginal ultrasound were performed by double-blind method and the results were compared.Results Four hundreds and thirty-four patients were exactly diagnosed by transvaginal ultrasound inspection,550 focuses of infection were detected,3 patients were misdiagnosed,diagnosis accuracy rate was 99.7%;494 patients were exactly diagnosed by abdominal ultrasound examination,56 patients were missed diagnosis,15 patients were misdiagnosed,diagnosis accuracy rate was 91.9%;314 patients were exactly diagnosed by gynecologic conventional examination,236 patients were missed diagnosis,27 patients were misdiagnosed,diagnosis accuracy rate was 69.9%.There was statistical difference among diagnosis accuracy rates of three methods.Conclusion Transvaginal ultrasound inspection has high accuracy rate for diagnosis of sactosalpinx and has higher applicable value in clinic.