Trans阴道l ultrasound

定义

Trans阴道l ultrasound is a test used to look at a woman's 子宫, ovaries, tubes, 子宫颈 骨盆区域.

Trans阴道l means across or through the 阴道. The ultrasound probe will be placed inside the 阴道 during the test.

选择的名字

Endo阴道l ultrasound; Ultrasound - trans阴道l; Fibroids - trans阴道l ultrasound; Vaginal bleeding - trans阴道l ultrasound; Uterine bleeding - trans阴道l ultrasound; Menstrual bleeding - trans阴道l ultrasound; Infertility - trans阴道l ultrasound; Ovarian - trans阴道l ultrasound; Abscess - trans阴道l ultrasound

How the Test is Performed

You will lie down on your back on a table with your knees bent. Your feet may be held in stirrups.

The ultrasound technician or doctor will introduce a probe into the 阴道. It may be mildly uncomfortable, but will not hurt. The probe is covered with a condom and a gel.

• The probe transmits sound waves and records the reflections of those waves off body structures. The ultrasound machine creates an image of the body part.
• The image is displayed on the ultrasound machine. In many offices, the patient can see the image also.
• The provider will gently move the probe around the area to see the pelvic organs.

在某些情况下, a special trans阴道l ultrasound method called saline infusion sonography (SIS) may be needed to more clearly view the 子宫.

How to Prepare for the Test

You will be asked to undress, usually from the waist down. A trans阴道l ultrasound is done with your bladder empty or partly filled.

How the Test will Feel

In most cases, there is no pain. Some women may have mild discomfort from the pressure of the probe. Only a small part of the probe is placed into the 阴道.

Why the Test is Performed

Trans阴道l ultrasound may be done for the following problems:

• Abnormal findings on a physical exam, such as cysts, 子宫肌瘤 tumors, or other growths
• Abnormal 阴道l bleeding and menstrual problems
• 某些类型的 不孕不育
• 异位妊娠
• 盆腔痛

This ultrasound is also used during pregnancy.

正常的结果

The pelvic structures or fetus is normal.

What Abnormal Results Mean

An abnormal result may be due to many conditions. Some problems that may be seen include:

• 出生缺陷
• Cancers of the 子宫, ovaries, 阴道, and other pelvic structures
• Infection, including pelvic inflammatory disease
• Benign growths in or around the 子宫 and ovaries (such as cysts or 子宫肌瘤s)
• 子宫内膜异位
• Pregnancy outside of the 子宫 (ectopic pregnancy)
• Twisting of the ovaries

风险

There are no known harmful effects of trans阴道l ultrasound on humans.

Unlike traditional x-rays, there is no radiation exposure with this test.

参考文献

Brown D, Levine D. 子宫. In: Rumack CM, Levine D, eds. 诊断超声. 5日艾德. Philadelphia, PA: Elsevier; 2018:chap 15.

Dolan MS, Hill CC, Valea FA. Benign gynecologic lesions: vulva, 阴道, 子宫颈, 子宫, 输卵管, 卵巢, ultrasound imaging of pelvic structures. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8日艾德. Philadelphia, PA: Elsevier; 2022:chap 18.

Hur HC, Lobo RA. 异位妊娠: etiology, pathology, diagnosis, management, fertility prognosis. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8日艾德. Philadelphia, PA: Elsevier; 2022:chap 17.

凯利厘米. 异位妊娠. In: Kellerman RD, Rakel DP, eds. Conn's Current Therapy 2022. Philadelphia, PA: Elsevier; 2022:1240-1243.