Abstract：Objective: This study is to research the value of transrectal ultrasonography(TRS) in diagnosing female pelvic inflammatory diseases and to compare TRS technique with traditional transabdominal ultrasonography(TAS) technique. Methods: Sixty-four gynecological patients with clinical diagnosis of pelvic inflammatory diseases were selected. They received routine TAS exam followed by TRS exam with transvaginal intracavitary probe after urination and defecation. TRS technique was compared with TAS technique in diagnosing pelvic inflammatory diseases, in order to explore the differences of the two ultrasound techniques in visualization and diagnosis rates of abnormal sonogram. Results: The detail visualizing ability in near field(uterus/ovary-center) of TRS was better than TAS significantly(P<0.01). Compared with traditional TAS technique, TRS technique could increase visualization ratio of abnormal sonogram significantly such as abnormal echo of endometria, thickening of fallopian tube, fluid accumulation and pus in Douglas pouch(all P<0.05). The detecting ability of TRS was better than TAS for a small quantity of fluid in uterus and in Douglas pouch, fallopian tube thickening, but abnormalities in superior position and far field should be depleted. Conclusion: TRS was a supplement of ultrasonography technique in diagnosing gynecological diseases. It was better than TAS technique in diagnosing pelvic inflammatory diseases and could be used as auxiliary diagnostic method for female upper reproductive tract infections.
2012, Vol. 23 
