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目的:探讨女性盆腔结核的超声诊断及分型,以提高超声对盆腔结核的诊断率。方法:分析37例经临床病理确诊的盆腔结核患者的超声图像特征。结果:盆腔结核超声图像可分为4型:单纯盆腔积液型8例(21.62%)、囊性包块型10例(27.03%)、实性包块型9例(24.32%),囊实混合包块型10例(27.03%),其中伴有子宫内膜见斑点状强回声者7例。本组误诊21例(56.76%)。结论:女性盆腔结核声像图表现复杂多样,诊断需医生熟知其病理改变过程、二维超声图像特征,并密切结合临床病史、实验室检查,结合阴道超声检查,必要时行剖腹探查,才能提高早期诊断率。
Objective: To investigate the ultrasound diagnosis and classification of female pelvic tuberculosis in order to improve the diagnostic rate of pelvic tuberculosis by ultrasound. Methods: Thirty-seven cases of pelvic tuberculosis diagnosed by clinical pathology were analyzed for ultrasound image features. Results: Ultrasonography of pelvic tuberculosis can be divided into 4 types: 8 cases (21.62%) with pelvic effusion, 10 cases with cystic mass (27.03%), 9 cases with solid mass (24.32% Mixed mass in 10 cases (27.03%), which accompanied by endometrial spotted hyperechoic in 7 cases. This group misdiagnosed 21 cases (56.76%). Conclusions: The findings of pelvic tuberculosis in women are complex and diverse. Diagnosis should be well known to doctors about the pathological changes and the characteristics of two-dimensional ultrasonography. Combined with clinical history, laboratory tests and vaginal ultrasonography, if necessary, laparotomy can be improved Early diagnosis rate.