经阴道超声与宫腔镜诊断宫腔粘连的对比分析

Research on comparison of transvaginal ultrasonography and hysteroscopy in diagnosis of intrauterine adhesions

目的:对比经阴道超声与宫腔镜检查诊断宫腔粘连的诊断情况。方法:对101例不育症育龄妇女,分别进行经阴道超声与宫腔镜检查。结果:101例不孕症患者经宫腔镜检查确诊宫腔粘连87例,经阴道超声检查确诊宫腔粘连68例,灵敏度为78.16%,且不同程度宫腔粘连的灵敏度无差异。经阴道超声检查与宫腔镜检查对不同程度宫腔粘连的诊断符合率一致。结论:在宫腔粘连的临床诊治中,阴道超声检查有着宫腔镜不可替代的价值,故阴道超声检查可作为宫腔粘连的首选检查方法。

Objective： To compare transvaginal ultrasonography and hysteroscopy in diagnosis of intrauterine adhesions. Methods： One hundred and one cases of infertile women were treated by transvaginal ultrasound and hysteroscopy. Results： One hundred and one cases of infertility by hysteroscopy diagnosis of 87 cases of intrauterine adhesions, transvaginal ultrasound 68 cases of intrauterine adhesions, 78.16% sensitivity, sensitivity and different degree of intrauterine adhesions without significant difference. The diagnosis coincidence rate of intrauterine adhesions was consistent with transvaginal ultrasonography and hysteroscopy. Conclusion： In the clinical diagnosis and treatment of intrauterine adhesions, transvaginal sonography has the value of irreplaceable hysteroscopy. Vaginal ultrasonography can be used as the first choice for intrauterine adhesions.