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Strongly disagree. 超声波is a great initial diagnostic tool and can provide a great deal of anatomic and pathologic information of both uterus and ovaries.

If it's fibroids (纤维瘤), depends on size and location, you can be candidate for myomectomy(只切纤维瘤）， hysterectomy （切子宫）, or minimally invasive procedure such as uterine artery embolization (UAE) in which case you preserve the organ and relieve from symptoms 。

If there is question of adenomyosis, MRI can help to confirm it and show extend of the disease.

Same work up for ovaries, ultrasound and possibly MRI.

[此贴子已经被作者于2012/6/19 12:18:15编辑过]

i doubt you ever talked to the radiologist who read your ultrasound. Size and number of cysts are rarely reported. Recent trend is not to report any simple cyst less than 5cm. The exception is polycystic ovarian syndrome where morphology is described, number would be reported as greater than 10 or something like that.

btw, i'm not aware of using ultrasound to 监测排卵, so cant comment on that

drinking water is meant to fill your bladder with urine. Fluid filled structure is a much better acoustic window then nonuniform soft tissue such as muscle and fat, so basically, drinking water can yield better sonographic images.

the report, the images, as well as all the result of your lab test, should be available upon request. Certain older labs don't have things in digital format, therefore images are not available to the patients. Most larger newer labs can provide a cdrom with all the images and report after you sign certain paperwork. you can inquire the details at the place performing your ultrasound.

Most patients don't get to talk to the radiologist, if you do without specifically requesting one, it's usually not a good thing. However, some places or radiologist will accommodate certain request if you ask nicely, it all depends. Report won't be available immediately after your ultrasound. Again, depends on the system and workflow at the place performing your exam, it usually takes 24-48hr. We have policy to keep things under 24hr, usually 2-4hr.

our diagnostic criteria for polycystic ovarian syndrome (assuming it's the same as多囊卵巢综合症)is greater than 10-12 small cysts in peripheral distribution with echogenic central parenchyma. Ultrasound is 2D image evaluation of a 3D structure, hard to be accurate on the exact number of cysts present. thanks for the info on监测排卵, i guess we are not involved in infertility treatment program or our docs dont do it that way, but good to know.

[此贴子已经被作者于2012/6/19 18:59:45编辑过]