Добавил:
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Atlas of Human Body Ultrasound Scanning_ Methods and Diagnostic Applications ( PDFDrive ).pdf
Скачиваний:
179
Добавлен:
29.07.2022
Размер:
40.13 Mб
Скачать

460

Q.-Y. Li and L.-X. Wang

 

 

3.3\ Luteal Phase Ovary Scan

in Fertile Woman

Fig. 12.23  Luteal phase ovary scan in fertile woman

BL

Ov

BL

Ov

12  Gynecologic Ultrasound Scanning

461

 

 

3.3.1\ Method

The patient should have a full urinary bladder. Probe is placed in the abdominal wall of the hypogastrium, and scan is carried out from multi-­ angle and multi-plane. The direction of sound beam through the bladder is the maximum section of the ovary.

3.3.2\ Section Structure

The anechoic area inferior to the abdominal wall is the distended bladder; the left, behind the blad-

der, is the right ovary; and the thick wall cystidium is the corpus luteum; the sonolucency in the corpus luteum is not clear.

3.3.3\ Measuring Method and Normal

The size and shape of corpus luteum is different; there is no clinical value of the measurements.

3.3.4\ The Clinical Application Value

It could indicate ovulation if ultrasound exam detects the corpus luteum.

462

Q.-Y. Li and L.-X. Wang

 

 

3.4\ Ovary Corpus Luteum

Scanning in Fertile Woman

Fig. 12.24  Ovary corpus luteum scan in fertile woman

BL

ROv

CL

ROv

CL

BL

Ut

12  Gynecologic Ultrasound Scanning

463

 

 

3.4.1\ Method

The patient should have a full urinary bladder. Probe is placed in the abdominal wall of the hypogastrium, and scan is carried out from multi-­ angle and multi-plane. The direction of sound beam through the bladder is the maximum section of the ovary.

3.4.2\ Section Structure

The anechoic area inferior to the abdominal wall is the distended bladder; the left behind the bladder is the right ovary; and the cyst in the ovary is the corpus luteum. The size of the corpus luteum is no more than 5 cm, but, sometimes, there are minority exceptions.

3.4.3\ Measuring Method and Normal

The size, shape, and internal echo of the corpus luteum are different, and, sometimes, the difference is significant; the corpus luteum gradually shrinks and disappears when the menstruation is end.

3.4.4\ The Clinical Application Value

The cyst detected accidentally by ultrasound exam may be physiologic cyst, such as corpus luteum cyst, and care should be taken when you give the diagnosis of tumor of the ovary; it is not too late to diagnose when you need to follow up a few times.

464

Q.-Y. Li and L.-X. Wang

 

 

3.5\ Ovary Scanning

in Postmenopausal Women

Fig. 12.25

Postmenopausal ovary scan

BL

ROv

BL

ROv