经阴道三维超声在宫腔粘连中的诊断价值

发布时间：2018-05-18 16:16

本文选题：宫腔粘连 + 经阴道二维超声　；参考：《重庆医学》2017年35期

【摘要】：目的分析经阴道三维超声在宫腔粘连中的诊断价值。方法回顾性分析2014年11月至2016年11月该院收治的经宫腔镜手术确诊并于术前行经阴道二维超声、三维超声检查的75例患者资料,以宫腔镜为金标准,比较分析经阴道二维超声、三维超声检查的准确度。结果经阴道三维超声诊断宫腔粘连的准确率为87.7%,二维超声诊断准确率为69.2%;经阴道二维超声检出轻、中、重度宫腔粘连的准确率分别为56.7%、76.9%、88.9%,经阴道三维超声准确率分别为76.7%、96.2%、100.0%;经阴道二维超声检出周围型、中央型、混合型宫腔粘连的准确率分别为66.7%、76.7%、54.5%,经阴三维超声准确率分别为83.3%、86.7%、100.0%;经阴道三维超声诊断准确率明显优于经阴道二维超声,差异有统计学意义(P0.05)。结论与经阴道二维超声比较,经阴道三维超声对宫腔粘连的诊断更为准确,能够为临床医生提供更多的信息。
[Abstract]:Objective to analyze the diagnostic value of transvaginal three-dimensional ultrasound in intrauterine adhesions. Methods from November 2014 to November 2016, 75 patients who were diagnosed by hysteroscopic operation and examined by transvaginal two-dimensional ultrasound and three-dimensional ultrasound were retrospectively analyzed. Hysteroscopy was used as the gold standard, and the transvaginal two-dimensional ultrasound was compared and analyzed. Accuracy of three dimensional ultrasound examination. Results the accuracy of transvaginal three-dimensional ultrasound in diagnosing intrauterine adhesions was 87.7, and that of two-dimensional ultrasound was 69.2. The accuracy rates of severe intrauterine adhesions were 56.7% and 76.9% and 88.9%, respectively, and the accuracy of transvaginal three-dimensional ultrasound were 76.7% and 96.22% 100.0.The two dimensional transvaginal ultrasound detected the peripheral type and central type, respectively. The accuracy of mixed intrauterine adhesion was 66.7 and 54.55.The accuracy of transvaginal three-dimensional ultrasound was 83.3 and 86.7 respectively, and the diagnostic accuracy of transvaginal three-dimensional ultrasound was significantly better than that of transvaginal two-dimensional ultrasound (P 0.05). Conclusion compared with two-dimensional transvaginal ultrasound, transvaginal three-dimensional ultrasound is more accurate in the diagnosis of intrauterine adhesions and can provide more information for clinicians.
【作者单位】：重庆市妇幼保健院超声科;
【基金】：重庆市卫生和计划生育委员会科研基金资助项目(20142103)
【分类号】：R445.1;R711.74

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