Asherman综合征的超声诊断——附35临床分析

Ultrasound diagnosis of Asherman's Syn- drome: Analysis of 35 cases.

Asherman综合征是继发于宫腔内创伤性手术引起的子宫腔部分或全部粘连,成为继发性闭经。不孕和反复流产的主要原因。本文总结了35例Asherman综合征的超声图象特征,经扩宫术,宫膜镜和子宫输卵管碘油造影证实,诊断符合率为80％(28/35)。作者比较了经腹部和阴道超声检查结果,认为经阴道检查可提供更清晰的图象,对子宫峡部或劲管粘连并伴宫腔积血的诊断具有独特的优点。此外,与宫腔镜和子宫输卵管碘油造影等方法比较,超声诊断宫腔粘连具有简便易行且无损伤等优点,可作为该病首选的检查方法。

Asherman's syndrome, partial or complete intrauterine adhesions developed after trauma or inflammation, is one of the main causes of secondary amenorrhea, infertility and multiple pregnancy loss. The ultrasonic apprearance of Asherman's syndrome of thirty-five cases was presented, and the accurate rate was 80% as compared with the results of hysteroscopic examination , dilat- ation & curettage, and hysterosalping-ogram. It was considered that transvaginal ultrasound may offer much better image than transabdominal approach, especially for diagnosing adhesion of isthmus accompanied with hematometra. Because of save and nonoperative method, ultrasound inspection should be the first approach for diagnosing Asherman's syndrome.