摘要
目的探讨宫腔粘连经阴道三维超声(3D-TVS)诊断的临床价值。方法选取我院2015年4月至2016年4月收治的宫腔粘连患者80例,均经宫腔镜和病理确诊,分别接受阴道二维超声(2D-TVS)和阴道三维超声检查,对宫腔粘连进行分型,分析宫腔粘连程度。结果以宫腔镜和病理诊断结果为标准,经阴道三维超声对宫腔粘连程度诊断准确率为95.00%,显著高于二维超声的73.75%,差异有统计学意义(P<0.05);经阴道三维超声对宫腔粘连分型诊断准确率为95.00%,显著高于二维超声的85.00%,差异有统计学意义(P<0.05)。结论针对宫腔粘连患者,经阴道三维超声可以更加全面、直观地提供诊断信息,提高对宫腔粘连程度、分型的诊断准确率,检查无创快捷,不影响检查后受孕,为宫腔粘连的诊断与治疗提供科学依据,具有重要的应用价值。
Objective To explore the clinical value of three-dimensional transvaginal sonography （3D-TVS） in the diagnosis of intrauterine adhesions （IUA）. Methods 80 cases of patients with IUA admitted to our hospital from April 2015 to April 2016 were selected and confirmed by hysteroscopy and pathology. All the patients received two-dimensional transvaginal sonography （2D-TVS） and 3D-TVS examination to classify the types of IUA and analyze the severity of IUA. Results Using hysteroscopy and pathological diagnostic results as the standard, the diagnostic rate of IUA degree of 3D-TVS was 95.00%, significantly higher than 73.75% of 2D-TVS, with statistical difference （P〈0.05）. The diagnostic rate of IUA typing of 3D-TVS was 95.00%, significantly higher than 85.00% of 2D-TVS, with statistical difference （P〈0.05）. Conclusions For patients with IUA, 3D-TVS can provide diagnostic information more comprehensively and intuitively, improve the diagnostic rate of IUA degree and typing, and is non-invasive and fast. 3D-TVS does not affect the conception after examination and can provide scientific basis for diagnosis and treatment of IUA, which has important application value.
出处
《临床医学工程》
2017年第3期299-300,共2页
Clinical Medicine & Engineering
关键词
宫腔粘连
经阴道三维超声
经阴道二维超声
Intrauterine adhesions
Three-dimensional transvaginal sonography
Two-dimensional transvaginal sonography
