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| Transva ginal Sonography of Acute Pelvic Inflammatory Disease |
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| Jin Soo Choi, M.D. Young Hwa Kim, M.D., Hyung Chul Shin, M.D. ,Gun Soo Han, M.D., Il Young Kim, M.D. |
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| Department of Radiology, Chonan Hospital Soonchunhyang University |
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| PURPOSE : To determine the value of transvaginal sonography in evaluating women with acute pelvic inflammatory
disease (PID).
MATERIALS and METHODS : Transvaginal sonography was performed in 25 patients with clinically suggested PID dur-ing
recent 36 months. The sonographic findings of fallopian tubes and ovaries were analysed and correlated
with pathological findings of 22 fallopian tubes and 19 ovaries in 16 patients who had operations.
RESULTS : The correct diagnosis of acute PID was made in 20/25 (80%) by transvaginal sonography. The abnormal
sonographic findings of the fallopian tube include tubal thickening or dilatation with internal echo. The sensitiv-i
t y, specificity, and accuracy for tubal abnormality were 88%, 96%, and 86%, respectively. Ovarian changes
were seen on TVS in 14/19 (73%), which include multiple follicular enlargement in 5, tubo-ovarian complex in
9 (tubo-ovarian adhesion in 3, tubo-ovarian abscess in 6). At surg e r y, the ovary was not involved in all three
women who showed tubo-ovarian adhesion on TVS. Among 6 women who showed tubo-ovarian abscess on
TVS, tubo-ovarian abscess was confirmed in 3 and the remaining 3 had ovarian cysts.
CONCLUSION : Transvaginal sonography, a facilitative and accurate modality, is highly sensitive in detecting the ab-normality
of the tube and useful in differentiating the tubo-ovarian complex in patients with acute PID. |
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| Keyword : Ureter, calculi, Ureter, US |
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pdf파일 : 299최진수1.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 1999 ; 18 (4) : p.299-304
