经阴彩色多普勒超声在纵隔子宫诊断中的应用价值

The application and value of transvaginal color Doppler sonography in diagnosing septate uterus

目的:探讨经阴彩色多普勒超声(TVS)对纵隔子宫的临床应用价值。方法:对临床怀疑有子宫畸形的76例患者(有症状者41例,无症状者35例)进行TVS检查,结果与宫腔镜检查结果对照,并对两组纵隔进行彩色多普勒血流检查,结果进行组间比较。结果:TVS诊断纵隔子宫的准确率为97.37%。纵隔内有血流显示的患者其流产的发生率较纵隔内无血流显示的患者显著增高(P<0.05)。结论:TVS对纵隔子宫具有较高的诊断价值,彩色多普勒技术可提示纵隔子宫患者发生流产的可能性。

Objective： To investigate transvaginal color Doppler sonography for the application value of septate uterus. Methods： A total of 76 patients（symptomatic group 41 cases, control group 35 cases） with suspected uterine malformation were examined by TVS, then we compared the ultrasonic results with hysterography. Color Doppler examine septal vascularity, the result was compared between two groups. Results： The diagnostic result of hysterography and TVS shows that diagnostic accuracy of TVS is 97.37%. Patients with vascularized septa had significantly higher prevalence of pregnancy failure than those with avascularized septa （P〈0.05）. Conclusions： TVS is highly valuable in diagnosing septate uterus, color Doppler technology has a potential to predict likelihood of pregnancy failure in patients with sepate uterus.