Objective To explore the diagnostic value of different ultrasound scanning methods in children and ado-lescent females with reproductive system diseases.Methods A total of 280 patients with suspected female reproductive sys-tem diseases in Department of Pediatrics and Department of Gynecology who received medical treatment from January 2015 to May 2019 were retrospectively selected as the research subjects.Ultrasound examination was performed after admission,and clinical biochemical examination and postoperative results were taken as the＂gold standard＂.The diagnostic value of transab-dominal and rectal ultrasound and ultrasound high and low frequency probe alone or in combination in the diagnosis of repro-ductive system diseases in children and adolescent females were statistically calculated and compared.Results The diagnos-tic sensitivity(93.88%)and accuracy(92.54%)of combined abdominal ultrasonography in adolescent females with appen-dicular torsion were higher than those of single abdominal ultrasonography(69.39%,74.63%)and rectal ultrasonography(75.51%,80.60%).The missed diagnosis rate of combined ultrasonography was 6.12%,which was lower than that of transabdominal ultrasonography(30.61%)and transrectal ultrasonography(24.49%)(P＜0.05).The ovarian volume of the patients with polycystic ovarian syndrome(PCOS)was significantly higher than that of the patients with PCOS by transab-dominal ultrasonography,while the number of the follicles and ovaries was significantly lower than that of the patients with PCOS by transrectal ultrasonography(P＜0.05).The detection rate of incarcerated ovarian torsion of oblique inguinal hernia was higher than that of high and low frequency ultrasonic probe for detection alone(P＜0.05).Compared with those before treatment,the long diameter of the ovary,anteroposterior diameter of the ovary,transverse ovarian diameter,ovarian volume and follicle diameter of the precocious children at 6 months after treatment were smaller(P＜0.05).Conclusion Transab-dominal and rectal ultrasound combined with high and low frequency probe scan can effectively improve the diagnostic accuracy of reproductive system diseases in children and adolescent females.In clinical practice,the combined application of transab-dominal and rectal ultrasound and ultrasound with high and low frequency probe scan can be used for early screening and diag-nosis,so as to formulate corresponding treatment plans.
关键词
卵巢扭转/多囊卵巢综合征/青春期,早熟/超声检查/儿童/青春期女性/促性腺激素释放激素/诊断价值
Key words
Ovarian torsion/Polycystic ovary syndrome/Puberty,precocious/Ultrasonography/Children/Adoles-cent female/Gonadotropin-releasing hormone/Diagnostic value
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