摘要
目的探讨三维超声(3DUS)ESHRE-ESGE共识诊断子宫畸形的价值。方法回顾性分析92例常规检查怀疑为子宫畸形患者的3DUS和MRI资料。以MRI结果为金标准,计算3DUS的ESHRE-ESGE共识诊断不同类型子宫畸形的敏感度、特异度、阳性预测值、阴性预测值、Youden指数、Kappa值。结果 3DUS的ESHRE-ESGE共识诊断正常子宫的敏感度80.00%(12/15)、特异度100%(77/77)、阳性预测值100%(12/12)、阴性预测值96.25%(77/80)、Youden指数0.80、Kappa值0.87;诊断纵隔子宫的敏感度100%(60/60)、特异度84.38%(27/32)、阳性预测值92.31%(60/65)、阴性预测值100%(27/27)、Youden指数0.84、Kappa值0.88;诊断双角子宫敏感度81.82%(9/11)、特异度100%(81/81)、阳性预测值100%(9/9)、阴性预测值97.59%(81/83)、Youden指数0.82、Kappa值0.89;诊断单角子宫敏感度、特异度、阳性预测值、阴性预测值均为100%,Youden指数和Kappa值均为1。结论 3DUS的ESHRE-ESGE共识诊断子宫畸形与MRI有较强的一致性,有较高的诊断价值。
Objective To explore the value of three-dimensional ultrasound（3DUS）ESHRE-ESGE consensus in diagnosis of different types of congenital uterine malformations.Methods A total of 92 patients suspected uterine malformations with routine examination underwent 3DUS and MRI examination.All data of 3DUS and MRI were retrospectively analyzed.Taking results of MRI as golden standard,sensitivity,specificity,positive predictive values（PPV）,negative predictive values（NPV）and Youdenindex,Kappavalue（K）of 3DUS ESHRE-ESGE consensus in diagnosis of different types uterine malformations were calculated.Results Sensitivity,specificity,PPV,NPV and Youdenindex,K value of 3DUS ESHRE-ESGE consensus in diagnosis of normal uterus were 80.00%（12/15）,100%（77/77）,100%（12/12）,96.25%（77/80）,0.80 and 0.87;those of septate uterus were 100%（60/60）,84.38%（27/32）,92.31%（60/65）,100%（27/27）,0.84 and 0.88;those of bicorporeal uterus were 81.82%（9/11）,100%（81/81）,100%（9/9）,97.59%（81/83）,0.82 and 0.89;sensitivity,specificity,PPV,NPV of hemi uterus were 100%,and Youdenindex and K were 1.Conclusion ESHRE-ESGE consensus has strong agreement with MRI,and the diagnostic value is high.
出处
《中国医学影像技术》
CSCD
北大核心
2016年第11期1723-1726,共4页
Chinese Journal of Medical Imaging Technology
关键词
泌尿生殖系统畸形
超声检查
磁共振成像
Urogenital abnormalities
Ultrasonography
Magnetic resonance imaging
