摘要
目的:探讨用阴道超声检查诊断宫腔粘连的临床效果。方法:将我院收治的50例疑似宫腔粘连的患者作为本次研究的对象。我们对这50例患者均进行阴道超声检查,然后将此检查的结果与进行手术探查的结果进行比较,总结用阴道超声检查诊断宫腔粘连的准确率。结果:(1)在这50例患者中,经手术探查显示有42例患者患有宫腔粘连,检出率为84%;经阴道超声检查显示有40例患者患有宫腔粘连,检出率为80%。二者相比差异无统计学意义(P>0.05)。经阴道超声检查诊断患者宫腔粘连的程度和类型与经手术探查的结果相比差异无统计学意义(P>0.05)。(2)用阴道超声检查诊断宫腔粘连的准确率、误诊率和漏诊率分别为95.2%、2.4%和2.4%。结论:用阴道超声检查诊断宫腔粘连的临床效果显著,能有效地诊断患者宫腔粘连的程度和类型,且此方法具有操作简单、安全性高、诊断的准确率高等优点。
Objective： To analyze the results and value of transvaginal sonography in the analysis of IUA. Methods： 50 cases of patients with suspected IUA in our hospital from January 2015 to December as the research object, the implementation of transvaginal ultrasound, to observe the degree and type of adhesion, and with hysteroscopy and pathology results as the gold standard were compared and analyzed. Results： 42 cases （84%） were detected by hysteroscopy, 40 cases （80%） were detected bytransvaginal ultrasound . Hysteroseopy misdiagnosis rate, missed diagnosis rate, diagnostic compliance rate was 4%, 2%, 84%, vaginal ultrasound examination was 6%, 4%, 80%. The difference was not obvious, and there was no statistical significance （P 〉 0.05）. Conclusion： Transvaginal ultrasound diagnosis of IUA with safe and economic, high accuracy, can determine the degree and type of adhesion, for clinical treatment, prognosis and provide a scientific basis, the application value is high.
