摘要
目的:探讨经阴道二维(2D-TVS)联合三维超声(3D-TVS)Omniview技术在Ⅱ型黏膜下子宫肌瘤术前诊断中的应用价值。方法:回顾2019年7月—2021年12月在徐州市妇幼保健院常规妇科超声检查发现可疑黏膜下子宫肌瘤78例患者,经3D-TVS进一步检查,入院后经宫腔镜(HS)手术诊断70例,术后病理证实72例,分析78例患者图像及检查报告,将检查结果与手术分型结果进行比较,分析其诊断敏感度。结果:2D-TVS和3D-TVS对0型和Ⅰ型黏膜下子宫肌瘤的诊断敏感度均较高,差异没有统计学意义。对Ⅱ型黏膜下子宫肌瘤,2D-TVS诊断符合率仅为69.2%,而3D-TVS诊断符合率92.3%,两种检查方法比较差异有统计学意义(P<0.05)。结论:经2D-TVS结合3D-TVS对黏膜下子宫肌瘤术前分型结果与手术病理结果诊断符合率高达94.4%。经2D-TVS结合3D-TVS操作简便、经济、无创,可重复性强等优点,可作为临床术前诊断黏膜下子宫肌瘤的首选方法,具有良好的经济效益及社会效益。
Objective:To explore the application value of two-dimensional transvaginal sonography(2D-TVS)combined with three-dimensional transvaginal sonography(3D-TVS)Omniview technique in the preoperative diagnosis of typeⅡsubmucosal hysteromyoma.Methods:From July 2019 to December 2021,78 patients with submucosal hysteromyoma were identified by routine gynecological ultrasound in Xuzhou Maternity and Child Healthcare Hospital.Seventy-two cases were further diagnosed by 3D-TVS,and 70 cases were confirmed by hysteroscopy.The classification results of imaging were compared with the classification results of surgery,and the diagnostic coincidence rate was analyzed.Results:The sensitivity of 2D-TVS and 3DTVS with omniview technique in the diagnosis of type 0 and typeⅠsubmucosal hysteromyoma was high.There was no statistical significance(P>0.05).For typeⅡsubmucosal hysteromyoma,the diagnostic coincidence rate of 2D-TVS was only69.2%,while that of 3D-TVS with omniview technique was 92.3%.There was significant difference between the two techniques(P<0.05).Conclusion:The diagnostic coincidence rate of 2D-TVS combined with 3D-TVS with omniview technique and surgical pathology was as high as 94.4%in preoperative classification of submucosal hysteromyoma.2D-TVS combined with3D-TVS with ommiview technique has the advantages of simple operation,economy,noninvasive and repeatible,which can be used as the first choice for clinical preoperative diagnosis of submucosal hysteromyoma.
作者
林冲
解艳华
王睿婕
董秀娟
许瑶璇
LIN Chong;XIE Yan-hua;WANG Rui-jie;DONG Xiu-juan;XU Yao-xuan(Department of Ultrasound,Xuzhou Maternal and Child Health Hospital,Xuzhou Jiangsu 221000,China)
出处
《中国临床医学影像杂志》
CAS
CSCD
2022年第11期794-796,800,共4页
Journal of China Clinic Medical Imaging
关键词
子宫肿瘤
超声检查
多普勒
彩色
Uterine Neoplasms
Ultrasonography,Doppler,Color