经阴道超声诊断不孕症常见宫腔病变的分析——300例与宫腔镜检查结果的比较

发布时间：2018-02-04 04:19

本文关键词： 阴道超声宫腔镜宫腔内病变　出处：《生殖与避孕》2015年02期 　论文类型：期刊论文

【摘要】：目的:探讨经阴道超声检查不孕症患者常见宫腔内疾病的发生率准确性。方法:分析300例同时接受阴道超声及宫腔镜检查的不孕症患者常见宫腔内病变,比较2种方法的各项指标。结果:所占比例最高的宫腔内病变为子宫内膜息肉,其次为宫腔粘连、宫腔畸形,最低的是子宫内膜结核;对各种常见宫腔内病变的诊断,2种检查方法符合率比较无统计学差异(P0.05)。结论:阴道超声在诊断不孕症患者中最常见的宫腔内病变是子宫内膜息肉、宫腔粘连、宫腔畸形,黏膜下肌瘤、内膜结核较少见;子宫内膜息肉、宫腔粘连中各项指标均高,最有利于开展临床工作;对诊断子宫异常增生、慢性非特异性子宫内膜炎,宫腔镜可以定位取材,明显优于阴道超声。
[Abstract]:Objective: to investigate the accuracy of transvaginal ultrasound in detecting the incidence of common intrauterine diseases in infertility. Methods: 300 cases of common intrauterine lesions of infertility who were examined by transvaginal ultrasound and hysteroscopy were analyzed. Results: the highest proportion of intrauterine lesions was endometrial polyps, followed by intrauterine adhesions, uterine cavity deformities, and endometrial tuberculosis. Diagnosis of various common intrauterine lesions. Conclusion: the most common intrauterine lesions in the diagnosis of infertility are endometrial polyps, intrauterine adhesions and uterine cavity deformities. Submucous myoma, endometrial tuberculosis is rare; The indexes of endometrial polyps and intrauterine adhesions are all high, which is most favorable for clinical work. Hysteroscopy is superior to vaginal ultrasound in the diagnosis of abnormal hyperplasia of uterus and chronic nonspecific endometritis.
【作者单位】：中信湘雅生殖与遗传专科医院;中南大学湘雅附二医院;
【分类号】：R711.6
【正文快照】： 的初诊患者,排除近期有其它原因不能进行宫腔镜检查者。所有患者均在月经干净后3~7 d内行阴道超声、宫腔镜检查。经阴道超声诊断参照《妇产科超声诊断学》;宫腔镜诊断参照《妇科内镜学》。1.2仪器阴道超声为美国GE730、GE V8彩超诊断仪;宫腔镜为日本奥林巴斯OTV-S7硬管型宫腔

【参考文献】