婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識

婦科超聲常規(guī)檢査風(fēng)險(xiǎn)評估婦科超聲常規(guī)檢査風(fēng)險(xiǎn)評估1婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估江蘇省中西醫(yī)結(jié)合醫(yī)院超聲科婦科超聲常規(guī)2斛趣聲結(jié)果判斷斛趣聲結(jié)果判斷3子官越聲檢查結(jié)判斷■正常子宮超聲判斷標(biāo)準(zhǔn)12cm15cm;已生育婦女15-18cm;絕經(jīng)后婦女5.5-8.0·失形庵大小:形庵規(guī)則,官體長怪、前后徑及樻徑三怪之和,未生肓婦女邊界包膜:邊界斷,包牒光甕奧質(zhì)回廣:星均勾的低回產(chǎn)區(qū)內(nèi)膜厚度:生育年齡隨周期不同變化,月經(jīng)期1-4mm,增羶期2-8m,分泌期8-18m,絕經(jīng)后期<4m,內(nèi)膜線多可見。子宮動脈:血流分布規(guī)則,實(shí)質(zhì)動脈RI>0.7■異常子宮超聲判斷標(biāo)準(zhǔn)形庵大小:形庵失常、體積增大成縮小邊界包:清或不清,包膜不枧實(shí)敗回;增粗不均,顯示緒節(jié)或異常回聲區(qū)內(nèi)回聲:均訇增厚或不對稱增厚,顯示結(jié)節(jié)或異?；芈晠^(qū)子宮動脈:血流分布異常,動脈RI<0.6子官越聲檢查結(jié)判斷4正常子官聲聲像體積128cm3,形態(tài)規(guī)則,實(shí)質(zhì)回聲均勻內(nèi)膜清晰,血流信號分布均勻。正常子官聲聲像5子官形態(tài)大小異常聲像幼稚子宮:體積46cmx3cm,明顯縱隔子宮:體積增大,宮底寬平小于正常,內(nèi)膜顯示不清粘膜線呈”W形子官形態(tài)大小異常聲像6子宮膜異常聲像圖子宮內(nèi)膜增生:內(nèi)膜厚約2.5cm子宮內(nèi)膜癌:宮頸內(nèi)口顯示菜花狀呈篩網(wǎng)狀低回聲區(qū)等回聲腫塊,血流豐富,分布不規(guī)則阻塞宮頸管腔,管腔重度擴(kuò)張積液子宮膜異常聲像圖7子宮血流異常聲像圖人流術(shù)后子宮實(shí)質(zhì)血管畸形:侵蝕性葡萄胎:人流后2月子宮左側(cè)壁出現(xiàn)液性暗區(qū)子宮右側(cè)壁顯示海綿樣結(jié)構(gòu)cDF顯示動靜脈瘺血流及頻譜。邊界不清,CDF顯示火海樣血流,動脈阻力指數(shù)038。子宮血流異常聲像圖8子官實(shí)質(zhì)異?；芈晠^(qū)聲像圖子宮體積增大,形態(tài)失常,實(shí)質(zhì)內(nèi)顯示多個結(jié)節(jié),邊界尚清,回聲均勻,有血流顯示。子官實(shí)質(zhì)異常回聲區(qū)聲像圖9二、卵蕖越聲檢查結(jié)果判斷正常卵巢超聲判斷標(biāo)準(zhǔn)態(tài)大小:多為扁圓形,容積=長x寬x厚/2,成年女子<10ml,經(jīng)后5m1,青少年3m1邊早包臏:經(jīng)界清楚,除排卵期外包膜完蓬卵泡情況:可見大小不等的卵泡,竇狀卵泡數(shù)〈12,周期內(nèi)有卵泡發(fā)育。異常卵票超聲劌斷標(biāo)準(zhǔn)形庵大小:形戀失常,體積增大界包膜:邊界不清,包膜增愿卵泡情況:數(shù)目增多、卵泡過大、周期內(nèi)元排卵異常回疒:出現(xiàn)囊性或?qū)嵭阅[塊。二、卵蕖越聲檢查結(jié)果判斷10婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識11婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識12婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識13婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識14婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識15婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識16婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識17婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識18婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識19婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識20婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識21婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識22婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識23婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識24婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識25婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識26婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識27婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識28婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識29婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識30婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識31婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識32婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識33婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識34婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識35婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識36婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識37婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識38婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識39婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識40婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識41婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識42婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識43婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識44婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識45婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識46婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識47婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識48婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識49婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識50婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識51婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識52婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識53婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識54婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識55婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識56婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識57婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識58婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識59婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識60婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識61婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識62婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識63婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識64婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識65婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識66婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識67婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識68婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識69婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識70婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識71婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識72婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識73婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識74婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識75婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識76婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識77婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識78婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識79婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識80婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識81婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識82婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識83婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識84婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識85婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識86婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識87婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識88婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識89婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識90婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識91婦科超聲常規(guī)檢查風(fēng)險(xiǎn)評估課件知識92