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输卵管积液

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B-chao under surveillance hydrotubation, intraoperative injection of the liquid resistance, patients feel pain, Gongpang flow, fluid volume after the dome is a valuable indicator to judge, the higher the accuracy of the results of this method, Safe, easy, pain, no radiation hazard, the clinical application worth promoting.

B超监视下输卵管通液术,术中推注液体的阻力、患者的疼痛感觉、宫旁液流情况、后穹窿积液量是有价值的判断指标,此方法结果准确性较高、安全、易行、痛苦小、无辐射危害,临床应用值得推广。

The 52 cases (57.78%)were with type of uterine tube clumps, and the feature of acoustic image showed clump echo were irregularity boundary, internal echo were uneven, gestational sac were not clear and there were a little or a few of fluidify when tubal pregnancys were ruptured.

输卵管妊囊型27例(30.00%),表现为较完整胎囊强回声光环,部分见胚芽;输卵管包块型52例(57.78%),表现为边界不规则的包块回声,内部回声不均匀,胎囊显示不清楚;输卵管妊娠破裂出血时盆腔可见少或中量积液等。

After salpingitis tubal atresia adhesion, mucosal cells in the secretion of fluid accumulation within the lumen, or isthmic tubal inflammation and adhesions umbrella side, blocking the formation of fallopian tube, when the lumen is absorbed within the suppurative cells , after eventually become liquid water.

在输卵管炎后,因输卵管粘连闭锁,粘膜细胞的分泌液积存于管腔内;或因输卵管炎症发生峡部及伞端粘连,阻塞后形成输卵管积脓,当管腔内的脓细胞被吸收后,最终成为水样液体。

Figure 3. A, Transabdominal scan of the right adnexa shows a complex mass surrounded by pelvic structures containing several round areas of loculated fluid that vary in size and are separated by a thickened band or adhesion, simulating a tubo-ovarian abscess or complex. B, Transabdominal cross-sectional scan shows the 2 loculated fluid areas posterior to the uterus separated by a thickened adhesion band.

图3 A,右侧附件区经腹部扫描显示被盆腔结构环绕的混合性肿块,其内有数个圆形的局限性积液,其大小不等,被增厚的束带或粘连分隔,象是一个输卵管-卵巢脓肿或复合体。B,经腹部横切面扫描显示子宫后方的2个局限性积液区,被一增厚的粘连束带所分隔。

On the basis of our series and the findings of Yapar et al, the sonographic features of pelvic TB may be categorized as wet type or dry type as follows. The wet type, found in 12 (75%) of 16 patients, is characterized by incompletely septated ascites, particulate ascites, loculated fluid (although clear ascites can also be commonly associated with tuberculous peritonitis ), a thickened peritoneum or omentum, and an adnexal mass, mimicking ovarian cancer; the dry type, found in a small number of cases, is characterized primarily by adnexal masses, adhesions, and loculated fluid, mimicking tubo-ovarian abscesses or complexes.

根据咱们和Yapar等人的发明,骨盆内部空腔TB的超声特征可以分为湿型或干型。16例病人中发明12例湿型TB,其特点是水臌内存在不完全的分隔、光点和多房性积液(尽管清亮的水臌通常也能归并结石性腹膜炎),和腹膜或网膜增厚和容易误诊成卵巢癌的附件团块;少量的病例呈干型TB,其特点主要是附件团块、粘连和多房性积液,象是输卵管-卵巢脓肿或复合体。

On the basis of our series and the findings of Yapar et al, the sonographic features of pelvic TB may be categorized as wet type or dry type as follows. The wet type, found in 12 (75%) of 16 patients, is characterized by incompletely septated ascites, particulate ascites, loculated fluid (although clear ascites can also be commonly associated with tuberculous peritonitis ), a thickened peritoneum or omentum, and an adnexal mass, mimicking ovarian cancer; the dry type, found in a small number of cases, is characterized primarily by adnexal masses, adhesions, and loculated fluid, mimicking tubo-ovarian abscesses or complexes.

根据我们和Yapar等人的发现,盆腔TB的超声特征可以分为湿型或干型。16例病人中发现12例湿型TB,其特点是腹水内存在不完全的分隔、光点和多房性积液(尽管清亮的腹水通常也能合并结核性腹膜炎),以及腹膜或网膜增厚和容易误诊成卵巢癌的附件团块;少量的病例呈干型TB,其特点主要是附件团块、粘连和多房性积液,象是输卵管-卵巢脓肿或复合体。

On the basis of our series and the findings of Yapar et al, the sonographic features of pelic TB may be categorized as wet type or dry type as follows. The wet type, found in 12 (75%) of 16 patients, is characterized by incompletely septated ascites, particulate ascites, loculated fluid (although clear ascites can also be commonly associated with tuberculous peritonitis ), a thickened peritoneum or omentum, and an adnexal mass, mimicking oarian cancer; the dry type, found in a small number of cases, is characterized primarily by adnexal masses, adhesions, and loculated fluid, mimicking tubo-oarian abscesses or complexes.

根据我们和Yapar等人的发现,盆腔TB的超声特征可以分为湿型或干型。16例病人中发现12例湿型TB,其特点是腹水内存在不完全的分隔、光点和多房性积液(尽管清亮的腹水通常也能合并结核性腹膜炎),以及腹膜或网膜增厚和容易误诊成卵巢癌的附件团块;少量的病例呈干型TB,其特点主要是附件团块、粘连和多房性积液,象是输卵管-卵巢脓肿或复合体。

Figure 3. A, Transabdominal scan of the right adnexa shows a complex mass surrounded by pelic structures containing seeral round areas of loculated fluid that ary in size and are separated by a thickened band or adhesion, simulating a tubo-oarian abscess or complex. B, Transabdominal cross-sectional scan shows the 2 loculated fluid areas posterior to the uterus separated by a thickened adhesion band.

图3 A,右侧附件区经腹部扫描显示被盆腔结构环绕的混合性肿块,其内有数个圆形的局限性积液,其大小不等,被增厚的束带或粘连分隔,象是一个输卵管-卵巢脓肿或复合体。B,经腹部横切面扫描显示子宫后方的2个局限性积液区,被一增厚的粘连束带所分隔。

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