What Is an Endovaginal Ultrasound?
There were no abnormal changes in the uterus or ovary or normal pregnancy.
- Transvaginal ultrasound is a breakthrough technology development in the application of gynecological and obstetric ultrasound in recent years. It can clearly show the internal organ tissue structure of women's pelvis. Compared with traditional transabdominal ultrasound, it does not fill the bladder. The diagnosis of the disease is early and accurate.
- Name
- Transvaginal ultrasound
- category
- Ultrasound (B ultrasound, A ultrasound)
Normal transvaginal ultrasound
- There were no abnormal changes in the uterus or ovary or normal pregnancy.
Clinical significance of transvaginal ultrasound
- Abnormal results: Gynecology (1) Endometrial sonography of normal menstrual cycle and mature and immature follicles in the normal ovary (so-called "ovulation measurement"); (2) Benign tumor of the uterus; (3) Malignant tumor of the uterus; (4) ) Non-neoplastic ovarian cysts; (5) Ovarian tumors. Obstetrics (1) Clear diagnosis of early pregnancy as early as possible; (2) Abnormal early pregnancy, especially ectopic pregnancy ("ectopic pregnancy"). This is particularly significant because ectopic pregnancy is a clinical emergency and death is not timely due to rescue; therefore, the population needs to be examined : Pregnant women's check-ups or gynecologists need assistance in diagnosing uterine and ovarian disease.
Transvaginal ultrasound considerations
- Contraindications before examination: Usually performed after routine gynecological examination. Attention during the examination: instruct the patient to urinate and take the bladder lithotomy position. Not suitable for people: vaginal bleeding should not be performed.
Transvaginal ultrasound procedure
- Inspection method: Cover the inside and outside of the vaginal probe cover with a disposable condom with disinfectant coupling agent. The operator wears gloves and holds the probe handle in his right hand, and slowly sends the probe into the vaginal fornix. During operation, tilt, push and pull, and rotate the probe handle to observe all pelvic structures. Advantages: Comparing transvaginal ultrasound with traditional transabdominal ultrasound, the probe almost directly contacts the scanning organ, shortening the distance between the probe and the examined organ; the operator can improve the image resolution due to the loose vaginal structure; for more intestinal qi, it is more obese Women, can avoid the gas interference of the intestinal cavity and the attenuation of the abdominal fat layer; traditional transabdominal ultrasound requires the patient not to urinate and start drinking water 3-4 hours ago. The amount of drinking water is about 2-3 bottles of mineral water, which makes the patient very hard. It is not conducive to emergency department, and transvaginal ultrasound does not need to fill the bladder. Since transvaginal ultrasound provides a more reliable early diagnosis basis for the diagnosis and differential diagnosis of normal and a variety of obstetrics and gynecology diseases, it has been widely used in recent years and continues to improve its level.
Transvaginal ultrasound related diseases
- Fallopian tube pregnancy, serous ovarian tumors, leiomyosarcoma of the uterus, cervical sarcoma, cervical stump cancer, pediatric ovarian tumors, cervical pregnancy, ovarian pregnancy, uterine cesarean scar pregnancy, benign vaginal tumors
Transvaginal ultrasound related symptoms
- Burning vulva, cold front yin, blind pouch vagina, vaginal septum, vaginal adhesions or even atresia, vaginal mucosa swelling, vaginal drainage is black water, increased vaginal secretions, bladder vaginal fistula, vaginal entrance mucosa tear