Medical research and diagnostics

Ultrasound examination (ultrasound) of the uterus and appendages (transabdominal)

Unlike the male body, the female has a number of features. It is more fragile and requires specific care and attention.

To find out what is happening in the body and check the condition of the pelvic organs, doctors often prescribe ultrasound for women.

Most women are afraid of such diagnostics, but there is nothing wrong with that.

Let's see what transabdominal ultrasound diagnosis is and how it goes.

In which cases transabdominal ultrasound diagnostics of the uterus and appendages is prescribed

Transabdominal diagnosis is an instrumental study of the state of organs. You can examine any organs, but we are interested in the uterus and appendages, so let's find out when a similar diagnosis is used in gynecology: to determine the volume of a woman's genitals. It is the size of the uterus and appendages that can tell about the possible pathological processes that occur in them; for timely diagnosis of neoplasms and adhesions; for diagnosing and setting the gestational age; to control the process of carrying a baby.

There is such a thing as an ultrasound examination of the uterine cavity, which allows you to: timely diagnose an ectopic pregnancy; fix the fading of the fetus; diagnose pathological processes in the fetus (even the most severe, in the form of Down syndrome and hydrocephalus of the brain); location and size of myoma tumors; identify a malignant tumor; diagnose the growth of endometrial cells outside the uterus; fix the displacement of the spiral; diagnose chronic endometriosis; diagnose the growth of polyps and other pathological structures; diagnose cancer of the internal uterine mucosa.

Also, the doctor may notice various deviations in the shape, size and weight of the uterus and its appendages. An ultrasound scan can show how passable the fallopian tubes are.

Diagnosis is carried out by introducing an ultrasound solution. It is introduced into the uterine cavity.

How to prepare for ultrasound?

To date, there are several types of ultrasound, and each of them has its own preparation rules. There are general rules, for example:

  1. Two to three days before the study, it is forbidden to consume foods that cause severe gas formation. It is also worth refraining from fermented milk products. This can significantly affect the results.
  2. If before the ultrasound examination the patient underwent other diagnostic measures by introducing a contrast medium, then ultrasound should be transferred.
  3. On the day of diagnosis, it is advisable to have an enema to clear the intestines.

By the beginning of transabdominal ultrasound, the bladder must be filled. How to do it right? Half an hour before the ultrasound, you need to drink one liter of plain water. If there is no time to wait, the doctor can inject the fluid with a catheter.

If the patient suffers from gas formation or constipation, then two days before the ultrasound examination, special enzymes are prescribed to her. On the day of the diagnostic event, you can not take any medications.

Doctors also recommend diagnosing during the first 6 days after menstruation.

There are no special contraindications to carrying out such procedures. The only thing that doctors do not conduct transabdominal ultrasound examination of patients during the menstrual cycle.

Transabdominal research and its features

Such an ultrasound examination refers to traditional methods for the diagnosis of pelvic organs. His work is that the ultrasonic wave is directed to the abdominal cavity and passes through it.

To study the uterus and its appendages, it is necessary to place special sensors on the patient’s stomach, which can give detailed information.

I wonder how this happens? During the procedure, the inverse piezoelectric effect occurs, that is, the outer shell of the uterus and appendages begin to reflect ultrasonic waves. During reflection, particles are formed that turn into electrical impulses. These pulses form the image on the screen.

Often during transabdominal ultrasound, doctors resort to additional diagnostic measures, which act in the form of bimanual palpation, ultrasound, magnetic resonance imaging, laparoscopy. This research technique has a number of advantages, let us consider them.

Benefits of Transabdominal Ultrasound

During the diagnostic event, the screen receives a picture of not only the organ under investigation, but also the one that is nearby. Thus, you can get a general panorama of the pelvic organs. This will allow doctors to make a more accurate diagnosis and prescribe appropriate treatment.

Unlike other types of ultrasound, transabdominal allows you to diagnose bulk and wide uterine tumors and neoplasms on the appendages.

Ultrasound examination does not require special preparation. Also, it does not have any negative effect on the pelvic organs and is absolutely painless.

This is an effective way to assess the condition of the uterus and appendages in virgins.

Cons of transabdominal ultrasound scanning

We described above how this technique works. So, it is sometimes difficult for ultrasonic waves to pass through the peritoneal tissue. Therefore, in some cases, the image does not turn out as clear as we would like.

Compared to other ultrasound sensors, this is considered weaker.

During the diagnosis, certain difficulties may arise, for example, an overweight patient and a thickened abdominal wall. In this case, the uterus and its appendages are harder to visualize. Also, image quality may be blurry due to adhesions that are in this area. As a rule, adhesions are a consequence of abdominal gynecological operations.

It is also worth taking into account the fact that, compared to other ultrasound scans, this method gives less information, but at the same time it perfectly shows the state of the organs under investigation, without causing discomfort and pain.

Watch the video: Ultrasound of Adnexal Masses (February 2020).