The difference between abdominal B-ultrasound and vaginal ultrasound

Medicine is more developed now and everything is becoming more and more. Many people will find that there are many types of B-ultrasound. Some are done on the abdomen, some are done on the chest, and some people even do B-ultrasound on the vagina. These examinations have different methods and different efficiencies, and can more subjectively see the patient's current stage and condition of the disease. So what is the difference between abdominal B-ultrasound and vaginal B-ultrasound? This is the issue that everyone is concerned about.

What items are examined in routine abdominal B-ultrasound?

Answer: Liver, gallbladder, pancreas, spleen, and kidneys.

What is the difference between gynecological B-ultrasound and gynecological examination?

Answer: Gynecological B-ultrasound requires holding urine, and mainly uses the principle of ultrasound to examine the uterus and bilateral adnexa, which can rule out space-occupying lesions. Gynecological examinations mainly include internal examinations and cervical smears, which can screen for gynecological inflammation, cervical cancer, etc.

Introduction

Vaginal ultrasound, also known as vaginal B-ultrasound, also known as intracavitary B-ultrasound, is a method of ultrasonic diagnosis by inserting the B-ultrasound probe into the vagina or rectum. It is particularly suitable for observing pelvic organs in the small pelvis. Compared with abdominal B-ultrasound, vaginal ultrasound images are clearer and more realistic, the results are more accurate, and the person being examined does not have to "hold urine". It is particularly suitable for ovulation monitoring, diagnosis of ectopic pregnancy, uterine space-occupying diseases, and diagnosis of polycystic ovary syndrome and chocolate cysts. For those who have had sexual intercourse, a vaginal examination can be performed, and for virgins, a rectal ultrasound examination can be performed.

Introduction

Vaginal ultrasound, also known as vaginal B-ultrasound, also known as intracavitary B-ultrasound, is a method of ultrasonic diagnosis by inserting the B-ultrasound probe into the vagina or rectum. It is particularly suitable for observing pelvic organs in the small pelvis. Compared with abdominal B-ultrasound, vaginal ultrasound images are clearer and more realistic, the results are more accurate, and the person being examined does not have to "hold urine". It is particularly suitable for ovulation monitoring, diagnosis of ectopic pregnancy, uterine space-occupying diseases, and diagnosis of polycystic ovary syndrome and chocolate cysts. For those who have had sexual intercourse, a vaginal examination can be performed, and for virgins, a rectal ultrasound examination can be performed.

Indications

1. Sonographic manifestations of the endometrium during a normal menstrual cycle and the mature and immature follicles in normal ovaries (the so-called "ovulation detection").

2. Benign uterine tumors: 1. Adenomyosis; 2. Uterine fibroids.

3. Uterine malignancies: 1. Endometrial cancer; 2. Cervical cancer.

4. Non-neoplastic ovarian cysts: 1. Polycystic ovary syndrome; 2. Chocolate cyst.

5. Ovarian tumor.

6. Make a clear diagnosis of early pregnancy as early as possible.

7. Abnormal early pregnancy, especially ectopic pregnancy (i.e. "ectopic pregnancy"), is a clinical emergency and may lead to death if not treated in time.

Inspection method

1. It is usually performed after a routine gynecological examination.

2. Ask the patient to urinate and take the lithotomy position.

3. Cover the vaginal probe with a disposable condom and apply disinfectant coupling agent inside and outside the condom.

4. The operator wears gloves, holds the probe handle with his right hand, and slowly inserts the probe into the vaginal vault.

5. Tilt, push, pull, and rotate the probe handle during operation to observe the entire pelvic structure.

Advantages of vaginal ultrasound

Vaginal probe has certain advantages over abdominal exploration:

① It has high sensitivity and display rate to uterine artery and ovarian blood flow.

② Shorten the inspection time and obtain accurate Doppler spectrum.

③ No need to fill the bladder.

④ Not affected by body type obesity, abdominal scars, intestinal gas distension, etc.

⑤ Use the movement of the probe tip to find the tenderness of the pelvic organs to determine whether there is pelvic adhesion.