经阴道二维与三维超声对宫腔轻度粘连的对比分析

Comparative analysis of transvaginal two-dimensional and threedimensional ultrasound in mild intrauterine adhesion

目的对比分析经阴道二维(2D-TVS)与三维超声(3D-TVS)诊断宫腔轻度粘连的价值。方法对45例疑为宫腔粘连的患者分别行2D-TVS及3D-TVS检查,以宫腔镜检查结果作为"金标准",对比分析2D-TVS及3D-TVS诊断宫腔轻度粘连的价值。结果 2D-TVS诊断宫腔轻度粘连的敏感性、特异性、阳性预测值、阴性预测值及诊断符合率分别为57.14%、33.33%、92.31%、5.26%及55.56%,3D-TVS诊断宫腔轻度粘连的敏感性、特异性、阳性预测值、阴性预测值及诊断符合率分别为92.86%、66.67%、97.50%、40.00%及91.11%;两者比较差异有统计学意义(P<0.05)。结论 3D-TVS在诊断宫腔轻度粘连方面较2D-TVS有明显优势,具有重要的临床应用价值。

Objective To explore the value of transvaginal two-dimensional（2D-TVS） and three-dimensional ultrasound（3D-TVS）in diagnosis of mild intrauterine adhesion. Methods A total of 45 patients were examined by 2D-TVS and3D-TVS who were suspected intrauterine adhesions. Then with hysteroscopy results as the ＂gold standard＂,the value of 2D-TVS and 3D-TVS in diagnosis of mild intrauterine adhesion was analyzed. Results The sensitivity,specificity,positive predictive value,negative predictive value and diagnostic accordance rate of 2D-TVS in diagnosis of mild intrauterine adhesions were57.14%,33.33%,92.31%,5.26%,55.56%,respectively.The sensitivity,specificity,positive predictive value,negative predictive value and diagnostic accordance rate of 3D-TVS in diagnosis of mild intrauterine adhesions were 92.86%,66.67%,97.50%,40.00%,91.11%,respectively. The difference between the two methods was statistically significant（P〈0.05）. Conclusion 3D-TVS has obvious advantages in diagnosis of mild intrauterine adhesion than 2D-TVS,which can provide reliable information for clinical treatment of mild intrauterine adhesion.