摘要
目的:探析经阴道三维超声监测在宫腔粘连诊断以及治疗中的应用价值。方法:选取2020年8月~2022年1月以疑似宫腔粘连收治入院的213例病例,探析经阴道三维超声对宫腔粘连的检出情况,以及在评价宫腔粘连程度、分型与宫腔镜检查金标准之间的一致性情况。结果:213例病例中经阴道三维超声诊断为宫腔粘连183例,经宫腔镜检查确诊197例,敏感性为89.34%、准确性为86.85%。164例病例两种检查对粘连程度判断一致,Kappa值为0.733。162例病例两种检查对粘连类型判断一致,Kappa值为0.715。结论:经阴道三维超声对宫腔粘连有较高的检出率,在宫腔粘连程度、类型的诊断上与宫腔镜检查结果具有良好的一致性。
Objective:To investigate the value of transvaginal three-dimensional ultrasound monitoring in the diagnosis as well as the treatment of uterine adhesions.Methods:213 cases admitted with suspected uterine adhesions between August 2020 and January 2022 were selected to investigate the detection of uterine adhesions by transvaginal 3D ultrasound and the agreement between the evaluation of the degree of uterine adhesions,staging and the gold standard of hysteroscopy.Results:Among 213 cases,183 cases were diagnosed with uterine adhesions by transvaginal 3D ultrasound,and 197 cases were confirmed by hysteroscopy,with a sensitivity of 89.34%and accuracy of 86.85%.164 cases were consistent between the two examinations in determining the degree of adhesions,with a Kappa value of 0.733.162 cases were consistent between the two examinations in determining the type of adhesions,with a Kappa value of 0.715.Conclusion:Transvaginal three-dimensional ultrasound has a high detection rate for uterine adhesions and has good agreement with hysteroscopic findings in the diagnosis of the degree and type of uterine adhesions.
作者
范丽珍
吴雪清
刘芳
张云秀
王诗雨
FAN Li-zhen;WU Xue-qing;LIU Fang;ZHANG Yun-xiu;WANG Shi-yu(Department of Ultrasound,Nanping People’s Hospital,Fujian Nanping 353000)
出处
《中国医疗器械信息》
2023年第16期14-17,共4页
China Medical Device Information
基金
2020年福建中医药大学校管课题(课题名称:经阴道四维超声监测在宫腔粘连中的临床研究,课题编号:XB2020113)。
关键词
宫腔粘连
经阴道三维超声
宫腔镜
一致性
uterine adhesions
transvaginal three-dimensional ultrasound
hysteroscopy
consistency
