经阴道三维超声在宫腔粘连中的诊断价值

Diagnostic value of transvaginal three-dimensional ultrasound in intrauterine adhesion

目的分析经阴道三维超声在宫腔粘连中的诊断价值。方法回顾性分析2014年11月至2016年11月该院收治的经宫腔镜手术确诊并于术前行经阴道二维超声、三维超声检查的75例患者资料,以宫腔镜为金标准,比较分析经阴道二维超声、三维超声检查的准确度。结果经阴道三维超声诊断宫腔粘连的准确率为87.7%,二维超声诊断准确率为69.2%;经阴道二维超声检出轻、中、重度宫腔粘连的准确率分别为56.7%、76.9%、88.9%,经阴道三维超声准确率分别为76.7%、96.2%、100.0%;经阴道二维超声检出周围型、中央型、混合型宫腔粘连的准确率分别为66.7%、76.7%、54.5%,经阴三维超声准确率分别为83.3%、86.7%、100.0%;经阴道三维超声诊断准确率明显优于经阴道二维超声,差异有统计学意义(P<0.05)。结论与经阴道二维超声比较,经阴道三维超声对宫腔粘连的诊断更为准确,能够为临床医生提供更多的信息。

Objective To analyze the diagnostic value of transvaginal three dimensional ultrasound in intrauterine adhesion. Methods The data in 75 patients with intrauterine adhesion confirmed by hysteroscopy surgery and conducting transvaginal two dimensional and three-dimensional ultrasound examination in this hospital from November 2014 to November 2016 were retrospec tively analyzed. Results The diagnostic accuracy rate of the three-dimensional transvaginal ultrasound for diagnosing intrauterine adhesion reached 87.7% ,which of two-dimensional ultrasound reached 69.2 %;the accuracy rates of transvaginal two dimensional ultrasound for detecting mild, middle and severe intrauterine adhesion were 56.7 %, 76.9 % and 88.9 % respectively, while which of transvaginal three-dimensional ultrasound were 76.7 %, 96.2 % and 100.0% respectively; the accuracy rates of transvaginal two-di mensional ultrasound for detecting peripheral, central and mixed intrauterine adhesion were 66.7 %, 76.7% and 54.5% respectively,while which of transvaginal three-dimensional ultrasound were 83. 3% ,88. 7% and 100. 0% respectively; the accuracy rate of three dimensional transvaginal ultrasound was significantly superior to that of transvaginal two dimensional ultrasound,the difference was statistically significant （P〈 0. 05）. Conclusion Compared with transvaginal two dimensional ultrasound, transvaginal three dimensional ultrasound is more accuracy in diagnosing intrauterine adhesion and can provide more information for clinical doc tors.