宫腔声学造影诊断剖宫产术后子宫切口憩室的价值

发布时间：2018-02-07 09:05

本文关键词： 宫腔声学造影超声检查憩室　出处：《中国医学影像技术》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨宫腔声学造影(SHG)诊断剖宫产术后子宫切口憩室的价值。方法对剖宫产术后临床怀疑子宫切口憩室的28例患者进行宫腔声学造影检查及常规经阴道超声(TVS)检查,观察并测量憩室大小及肌层厚度,观察对比两种超声检查方法诊断切口憩室的价值。超声检查后均进行宫腔镜检查,并以宫腔镜检查结果作为金标准。结果宫腔镜检查发现20例子宫切口憩室、宫腔声学造影检查发现20例、常规经阴道超声检查发现17例。以宫腔镜检查结果为金标准,SHG、TVS诊断子宫切口憩室的准确率分别为100%(20/20)、89.29%(17/20)。TVS测量憩室上下径[(9.17±2.63)mm]、左右径[(11.76±5.67)mm]及肌层厚度[(3.29±1.01)mm]与SHG测量结果[上下径:(12.01±4.04)mm、左右径:(12.37±6.14)mm、厚度:(2.85±1.30)mm]差异均有统计学意义(P均0.05),TVS与宫腔声学造影测量的憩室高度[(5.62±2.13)mm vs(5.50±2.34)mm]差异无统计学意义(P0.05)。宫腔声学造影还发现宫腔粘连带5例、子宫内膜息肉4例、黏膜下肌瘤1例。结论宫腔声学造影诊断剖宫产术后子宫切口憩室具有一定的临床价值。
[Abstract]:Objective to evaluate the diagnostic value of SHG in the diagnosis of diverticulum of uterine incision after cesarean section. Methods 28 patients with suspected diverticulum of uterine incision after cesarean section were examined by ultrasonography and conventional transvaginal ultrasound (TVs). To observe and measure the size of diverticulum and the thickness of myocutaneous layer, to observe and compare the value of two kinds of ultrasonic examination methods in the diagnosis of incisional diverticulum. The results of hysteroscopy were taken as gold standard. Results 20 cases of intrauterine incision diverticulum were found by hysteroscopy, and 20 cases were found by contrast sonography of uterine cavity. 17 cases were detected by conventional transvaginal ultrasound. The accuracy of hysteroscopy in the diagnosis of incision diverticulum was 100 / 20 / 20 / 20 / 20 / 20 / 20 / 20 / 17 / 20 / 20 / 17 / 20. TVS [9.17 卤2.63 mm], left and right diameter [11.76 卤5.67 mm] and thickness of muscular layer [3.29 卤1.01mm.] and SHG respectively. [upper and lower measurements of the diameter of diverticulum [9.17 卤2.63 mm], left and right diameter [11.76 卤5.67 mm] and thickness of muscular layer [3.29 卤1.01mm.]. The diameter of the diverticulum was 12.01 卤4.04mm, the diameter was 12.37 卤6.14mm and the thickness was 2.85 卤1.30mm. There was no significant difference between the diverticulum height (5.62 卤2.13mm vs(5.50 卤2.34mm) and the height of diverticulum measured by sonography (5.62 卤2.13mm vs(5.50 卤2.34mm). There were 4 cases of endometrial polyp and 1 case of submucous myoma. Conclusion the diagnosis of uterine incision diverticulum after cesarean section is of certain clinical value.
【作者单位】：郑州大学人民医院超声科;
【分类号】：R719.8;R445.1

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