宫腔镜注水膨宫下经腹超声对子宫瘢痕憩室的诊断意义

Diagnostic Value of Hysteroscopic Water Injection and Transabdominal Ultrasound for Uterine scar Diverticulum

目的:探讨宫腔镜注水膨宫下经腹超声对子宫瘢痕憩室的诊断意义。方法:选择2014年11月至2017年11月我院接诊的240例子宫瘢痕憩室患者进行研究,对所有受试者分别进行宫腔镜注水膨宫下经腹超声和阴道超声检查,并测量憩室形态和大小,比较两种方式对子宫瘢痕憩室的诊断价值差异。结果:检查结果显示,宫腔镜注水膨宫下经腹超声检出率为100%(240/240),阴道超声检出率为92.08%(221/240),比较具有显著差异(P<0.05);分别测量深度、长度、宽度以及残余肌层厚度四个径线结果显示,宫腔镜注水膨宫下经腹超声检出深度、长度、宽度结果均明显比阴道超声大[(13.82±2.4)mmvs(7.01±1.18)mm,(9.85±1.40)mmvs(8.14±1.19)mm,(14.29±2.35)mmvs(11.83±1.84)mm],残余肌层厚度明显薄于阴道超声结果[(2.15±0.21)mmvs(2.98±0.74)mm],比较具有显著差异(P<0.05)结论:宫腔镜注水膨宫下经腹超声在诊断子宫瘢痕憩室中具有较好的价值,可准确的了解憩室形态,值得应用推广。

Objective： To study diagnosis of uterine cicatricial diverticulum by hysteroscopic underwater transabdominal ultrasound. Methods： 240 patients uterine cicatricial diverticulum who received therapy from November 2014 to November 2017 in our hospital were selected as research objects,they were examined by hysteroscopic underwater transabdominal ultrasound and transvaginal ultrasound,the morphological and size of the diverticulum were measured,and the diagnostic value of the two ways of the uterine cicatricial diverticulum was compared. Results： The results showed that the detection rate of hysteroscopic underwater transabdominal ultrasound was 100%（ 240/240）,while the rate of transvaginal ultrasound was 92. 08%（ 221/240）,the differences are statistically significant（ P〈0. 05）; the results of four meridians of depth,length,width and thickness of residual muscularis were measured respectively,the results of the depth,length and width in the hysteroscopic underwater transabdominal ultrasound were significantly larger than those in the transvaginal ultrasound [（ 13.82±2.41） mmvs（ 7.01 ± 1.18） mm,（ 9.85 ± 1.40） mmvs（ 8.14 ± 1. 19） mm,（ 14. 29 ± 2. 35） mmvs（ 11.83±1.84） mm],the thickness of the residual muscularis is significantly thinner than those in the results of transvaginal ultrasound[（ 2.15±0.21） mmvs（ 2.98±0.74） mm],the differences are statistically significant（ P〈0.05）. Conclusion： Hysteroscopic underwater transabdominal ultrasound in the diagnosis of uterine cicatricial diverticulum has a good value. And it can accurately understand the shape of the diverticulum,it＇s worthy of application and popularization.