摘要
目的 探讨处女膜闭锁的误诊原因和超声诊断价值。 方法 对 2 3例经临床确诊的处女膜闭锁的临床资料和超声诊断结果进行回顾性分析。 结果 ①超声显像 :有 2 1例 (91.30 % )清楚显示有阴道扩张积液 ,其中 13例 (5 6 .5 2 % )呈现“哑铃状”子宫阴道积液 ,1例新生儿子宫阴道积液超声误诊为盆腔囊肿。②临床误诊类型和超声误诊类型有所不同 ,临床主要误诊为腹、盆腔肿瘤 (9例 ,占 39% )、泌尿系感染 (6例 ,占 2 6 % )等 ,超声主要误诊为盆腔囊肿 (2例 ,占 9% ) ,两组比较有统计学意义 (P <0 .0 5 )。 结论 提高对本病的认识 ,详细追问病史 ,仔细进行体格检查和必要的辅助检查是避免误诊的关键措施 。
Objective Explore the misdiagnosis reasons and ultrasound diagnosis value of imperforate hymen.Methods Conduct retrospective analysis on 23 cases clinical data and their ultrasound diagnosis results.Results ①Ultrasound image:21 cases (91.3%)have clear manifestation of vagina expansion hydrops among them 13 cases(56.52%) present“dumb bell”uterus vagina hydrops,1 case newborn uterus vagina hydrops is misdiagnosed as pelvic cyst by ultrasound;②Clinical misdiagnosis is different from ultrasound misdiagnosis,clinical misdiagnosis are mainly abdomen and pelvic tumor(9cases,39%),urinary infection(6 cases,26%),etc ultrasound misdiagnosis are mainly pelvic cyst(2 cases,9%),there's statistical significance compairing the two groups,(P<0.05).Conclusion The key measures to avoid the misdiagnosis are to enhance the knowledge of the disease,ask the disease history in details,carefully exam the body and necessary auxilliary examination,among them the ultrasound image has played an important role in the diagnosis and differentiation diagnosis of the disease.
出处
《医药论坛杂志》
2003年第16期3-4,共2页
Journal of Medical Forum
