摘要
目的探讨经直肠超声(TRS)诊断阴道不规则出血的临床价值。方法对140例不规则阴道出血患者行腹部超声检查(TAS)和直肠超声(TRS)诊断,其中117例同时行阴道超声(TVS),以术后组织病理学诊断为"金标准",比较诊断符合率。结果 TAS、TVS及TRS诊断符合率分别为65.71%、87.18%、92.14%;TVS与TRS的诊断符合率均明显高于TAS,差异有统计学意义(χ2=15.87、29.40,P<0.01);TRS的诊断符合率高于TVS,但差异无统计学意义。结论 TRS检查图像清晰,定位准确,与TVS效果相当,但适用范围广,感染概率低,弥补了TAS及TVS检查的不足,具有重要的临床应用价值。
OBJECTIVE To investigate the clinical value of transrectal ultrasound diagnosis on irregular vaginal bleeding.METHODS A total of 140 irregular vaginal bleeding patients received abdominal ultrasound（TAS） and transrectal ultrasonography（TRS） diagnosis.Of them,117 cases received transvaginal ultrasound（TVS） simultaneously.Postoperative histopathological diagnosis served as the ＇gold standard＇ and diagnostic accuracy was compared.RESULTS TAS,TVS and TRS diagnostic accuracy rates were 65.71%,87.18% and 92.14% respectively.Diagnostic accuracy rates of TVS and TRS were significantly higher than that of TAS.The differences were statistically significant（χ2=15.87,29.40,P〈0.01）.Diagnostic accuracy rate of TRS was higher than TVS,but the difference was not statistically significant.CONCLUSION TRS check shows clear image and accurate position,and has comparable effect with TVS,but has wide application scope and lower risk of infection,which make up the shortcomings of TAS and TVS,and has important clinical value.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第4期748-749,共2页
Chinese Journal of Nosocomiology
关键词
阴道不规则出血
经直肠超声
价值
Irregular vaginal bleeding
Transrectal ultrasound
Value
