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当前位置:首页 > 商业/管理/HR > 经营企划 > 妇产科疾病的超声诊断-ENGLISH
1、UltrasonographyonGynecologyandObstetricsLiuLipingSangreal--------uterusTHEDAWINCICODEPelvicCavityPosterior:Occupiedbyrectum,colon,andileumAnterior:bladder,ureters,ovaries,fallopiantubes,uterus,andvaginaNORMALANATOMYPre-inspection:ModeratebladderfillingUterusHollow,pear-shapedorganDividedintofundus,body,andcervixUsuallyanteflexedandantevertedCoveredwithperitoneumexceptanteriorlybelowtheoswhereperitoneumisreflectedontobladderSupportedbylevatoranimusclesandpelvicfasciaRoundligamentkeepsute。
2、rusinpositionUterinesizePrepubertal:3cmlongby0.5to1.0cmwideMenarcheal:8cmlongby4cmwidePostmenopausal:3.5to5.5cmlongby1to2cmwideNormalsize:2~3(thick)×4~5(width)×7~8cm(length)UterinelongitudinaldiameterUterinewidediameterUterusbeforeandaftertheTrailbeforeandaftertheTrail2~3cmwidth4~5cmUterinePositionMidlineanteversion:mostcommon;degreeofanteversionisbladderdistentiondependentRightorleft:normalvariantinabsenceofpelvicmassesRetroverted:entireorgandisplacedposteriorlyRetroflexed:bodydisplacedw。
3、ithrespecttocervixUltrasonographyofnormaluterusUterineserosalayer:Linearhigh-echo;clear,smooth;Myometrium:Homogeneousmiddle-echo;Endometria:Themiddlelineofhighecho,aroundtheweakecho.Itiswellknownthattheendometriumchangesdynamicallyinresponsetocyclichormonalflux.UterineserosalayerMyometriumEndometriaNormaluterustransabdominalultrasonographyTransvaginalsagittalviewoftheuterus.Theroundedfundusisshowntowardtheleftoftheimagewiththeendometrialstriperummingthroughthemiddleoftheuterinecavity.Myometri。
4、umEndometriaUterineserosalayerFallopianTube(输卵管)Infundibulum:funnel-shapedlateraltubethatprojectsbeyondthebroadligamenttooverlietheovariesAmpulla:sidestpartofthetubewherefertilizationoccursIsthmus:hardestpart;liesjustlateraltotheuterusLength:12cm;suppliedbyovarionarteriesandveinsOvary(卵巢)AlmondshapedAttachedtobackofthebroadligamentbymesovarium;sometimescalledsuspensoryligamentoftheovaryLiesinovarianfossaFossaisboundedbyexternaliliacvessels,ureter,andobturatornerveReceivesbloodfromovaria。
5、narteryBlooddrainedbyovarianveinintoinferiorvenacavaonright;onleftbyovarianveinintolertrenalveinSonographyofthenormalovaryAnovoidhomogeneousechodensity;follicularcystsareoftenpresent.Thebestsonographicmarkerfortheovaryisidentificationofafollicularcyst,whichhastheclassicappearanceofbeingthinwalledandanechoicwiththrough-transmissionposteriorly.TransabdominalsagittalimageshowstheleftovaryposteriortotheurinarybladderTransvaginalsagittalimageoftheovaryovarianfollicleFollicularwallflowCommonDisease。
6、sofObstetricsandGynecologyGynecology:Leiomyoma;Carcinoma;;OvarianTumors;Inflammatorymass;etc.Obstetrics:Naturalpregnancy;Abnormalpregnancy;etc.TheuterusLeiomyoma/HysteromyomaCharacteristicsofLeiomyomasMostcommonpelvictumorSmoothmusclecellcompositionFibrosisoccursafteratrophicofdegenerativechangesDegenerationoccurswhenfibroidsoutstriptheirbloodsupply;calcificationMaybepedunculatedClinical:enlargeduterus,profuseandprolongedbleeding,painUterineLocationsofleiomyomasSubmucosalErodeintoendomerti。
7、alcavity–heavybleeding;infertilityIntramuralMayenlargetocausepressureonadjacentorgans;infertilitySubserosalMayenlargetocausepressureonadjacentorgansSubserousmyomaBroadligamentmyomaCervicalmyomaintramurousmyomaSubmucousmyomaUltrasonicperformanceTwo-dimensional:①IncreaseduterinebodyorFormdisorders;②Sphericalhypoechoicareaintheuterinebody,Rearechoattenuation;③WithcalcificationorCysticchange,etc;④Signsofoppression;ColorDoppler:Tumoraroundwiththebloodflowsignalintheshapeofringorsemi-circularring;D。
8、opplerspectrum:Mediumresistanceindex,RI0.6±0.1。intramurousmyomaSubserousmyomaintramurousmyomaSubserousmyomaCervicalmyomaAbundanttumorbloodflowMUTRI0.61SubmucousmyomawithcalcificationTeratomaDermoidTummors(卵巢良性囊性畸胎瘤/皮样囊肿)Pathology:derivesfromgermcell,themostcommonovarianneoplasm,constituting20%ofovariantumors.upto20%arebilateral.About80%occurinwomenofchildbearingage.Sizerangesfromsmallto40cmUnliateral,roundtoovalmassContainsfaty,sebaceousmaterial,hair,cartilage,bone,teethClinical:asymptomati。
9、ctoabdominalpain,enlargementandpressure;pedunculated,subjecttotorsionSonography:Cystic/complex/solidmass,echogeniccomponents;acousticshadowingSpecialUltrasoundFindings:1.Acysticmass:withanechogenicmuralnodule2.Apastesign:particulateliptinite3.Afluffofhairsign4.Afat-fluidlevelsign:withfluidlevelinthecyst,fatabove,fluidbelow.5.AcomplexmasscysticteratomaofovaryAcysticmassPastesignFluffofhairsignPastesignFat-fluidlevelsignAcomplexmassA8yearsoldgirl,cuttingoffathreekilogramsbenignteratomaTheroleofUl。
10、trasoundinObstetricsTRIMESTERSFirsttrimester=0to12weeksofgestationSecondtrimester=13to26weeksofgestationThirdtrimester=27to42weeksofgetsationPosttermpregnancy=42weeksofgestationIndicationsforFirst-TrimesterSonographyConfirmpresenceofintrauterinepregnancyEvaluateforsuspectedectopicpregnancyDefinecauseofvaginalbleedingDeterminegestationalageConfirmsuspectedmultiplegestationsAidininvasiveproceduresEvaluatepelvicmassesDetectuterineabnormalitiesNaturalpregnancyNonagepregnancy(First-Trimes。
本文标题:妇产科疾病的超声诊断-ENGLISH
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