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目的:了解北京地区已婚育龄女性经阴道超声检查对生殖系统疾病的检出情况。方法:选取2013年3月~2014年3月北京地区已婚育龄女性2 956人为研究对象,完成经阴道超声检查者2 564人,分析育龄女性生殖系统疾病检出情况。结果:经阴道超声检查发现生殖系统疾病患者220例(8.58%),包括子宫肌瘤40例、子宫腺肌症2例、卵巢单纯囊肿78例、子宫内膜异位囊肿43例、卵巢畸胎瘤3例、卵巢囊肿性质待查6例、输卵管积水7例、子宫内膜息肉6例、宫内节育器位置下移9例、宫内早孕5例、异位妊娠1例、宫腔积液1例、子宫畸形6例及子宫缺如13例,其中91例需要进一步处理(41.36%)。另外,育龄女性生殖系统疾病患病率随年龄增大而升高,特别是40岁以上的育龄女性(异常检出率占11.87%)。结论:经阴道超声检查能够更准确、更早地发现生殖系统常见疾病,对于40岁以上育龄女性建议将其作为常规体检项目。
Objective: To understand the detection of reproductive system diseases by transvaginal sonography in married women of childbearing age in Beijing. Methods: A total of 2 956 married women of childbearing age were selected from March 2013 to March 2014 in Beijing. A total of 2 564 transvaginal ultrasound examinations were performed. The detection of reproductive system diseases in women of childbearing age was analyzed. Results: Transvaginal ultrasonography showed that 220 cases (8.58%) of patients with reproductive system diseases, including 40 cases of uterine fibroids, 2 cases of adenomyosis, 78 cases of ovarian cysts, 43 cases of endometriosis, ovarian teratogenesis Tumor in 3 cases, 6 cases of ovarian cyst to be examined, 7 cases of tubal hydrops, 6 cases of endometrial polyps, 9 cases of intrauterine contraceptive placement, 5 cases of intrauterine pregnancy, 1 case of ectopic pregnancy, 1 case of fluid, 6 cases of uterine malformation and 13 cases of uterine absence, of which 91 cases needed further treatment (41.36%). In addition, the prevalence of reproductive system diseases in women of childbearing age increased with age, especially for women of childbearing age over the age of 40 (the rate of anomaly detection was 11.87%). Conclusion: Transvaginal ultrasonography can detect common diseases of the reproductive system more accurately and earlier, and it is recommended for women of childbearing age above 40 years old as routine examination items.