摘要
【目的】探讨经阴道三维超声(3D-TVS)对不孕症患者宫腔病变及输卵管通畅性的诊断价值。【方法】选取2018年4月至2019年6月在本院诊治的96例不孕症患者,所有患者均采用3D-TVS和经阴道二维超声(2D-TVS)检查,分析两种超声检查方法对宫腔内病变、输卵管通畅性和走行情况等的诊断价值。【结果】3D-TVS检查对不孕症患者宫腔内病变的总检出率高于2D-TVS检查(P<0.05);对子宫内膜息肉、子宫内膜增生、宫腔粘连、子宫黏膜肌瘤和子宫内膜癌的灵敏度均高于2D-TVS检查,诊断子宫内膜增生、宫腔粘连的特异度和准确度高于2D-TVS检查,其差异均有统计学意义(P<0.05);3D-TVS造影检查对输卵管走行情况判断优于2D-TVS(P<0.05)。【结论】3D-TVS检查在不孕症患者宫腔内病变中具有较高的诊断价值,在判断输卵管通畅性及走行情况方面更具有优势。
【Objective】To explore the diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)in uterine cavity lesions and tubal patency in infertile patients.【Methods】A total of 96 patients with infertility who were diagnosed and treated in our hospital from April 2018 to June 2019 were selected.All patients were examined by 3D-TVS and transvaginal two-dimensional ultrasound(2D-TVS).The diagnostic value of the two ultrasonic examination methods for intrauterine lesions,fallopian tube patency and travel was analyzed.【Results】The total detection rate of intrauterine lesions in patients with infertility by 3D-TVS was higher than that by 2D-TVS(P<0.05);The sensitivity of endometrial polyps,endometrial hyperplasia,intrauterine adhesion,endometrial myoma and endometrial carcinoma was higher than that of 2dD-TVS,and the specificity and accuracy of endometrial hyperplasia and intrauterine adhesion were higher than that of 2D-TVS(P<0.05);3D-TVS was superior to 2D-TVS in judging the course of fallopian tube(P<0.05).【Conclusion】3D-TVS has high diagnostic value in intrauterine lesions of infertile patients,and has more advantages in judging the patency and course of fallopian tubes.
作者
春芽
邓婕
CHUN Ya;DENG Jie(Baoji Traditional Chinese Medicine Hospital,Baoji Shaanxi 721000)
出处
《医学临床研究》
CAS
2022年第7期1010-1013,共4页
Journal of Clinical Research
