经阴道四维超声造影在女性不孕患者宫腔病变中的应用

The application of transvaginal four-dimensional hysterosalpingo-contrast sonography for diagnosis of intrauterine abnormalities in female infertility patients

目的探讨经阴道四维超声造影对女性不孕患者宫腔病变的诊断价值。方法对312例女性不孕患者行经阴道四维超声造影,实时观察宫腔形态及有无占位性病变。结果 312例患者中39例患者检出宫腔病变:(1)宫腔粘连13例:宫腔形态欠规则,部分内膜连续性中断;(2)宫腔占位18例:宫腔内局限、类圆形突起或局部充盈缺损;(3)不完全纵隔子宫8例:宫腔底部可见肌性等回声分隔突向宫腔内,与宫底部肌层相连续。其中31例患者行宫腔镜手术治疗,与手术结果符合率96.7%(30/31),1例正常宫腔误诊为宫腔粘连。结论经阴道四维超声造影能清晰地观察宫腔形态,检出宫腔内病变,可作为诊断宫腔疾病的有效方法。

To explore the diagnostic value of transvaginal four-dimensional hysterosalpingo-contrast sonography for intrauterine abnormalities in female infertility patients.The four-dimensional hysterosalpingo-contrast sonography examination was performed for 312 female infertility patients.The uterine cavity morphology and occupying lesions were observed in real-time.Of the 312 patients,39 were found to have intrauterine abnormalities.Of the 39 abnormalities,13 with intrauterine adhesion in which intrauterine was irregular in shape and parts of membrane discontinuity,18 with occupying lesions in which intrauterine limitation,round like processes or partial filling defects were found and 8 with incomplete uterus septum in which equal echo processes could be seen at the uterine fundus.Of the 39 patients,31 were treated by hysteroscopic surgery.The coincidence rate was 96.7%(30/31),but 1 case with normal uterine cavity was misdiagnosed as intrauterine adhesions.The four-dimensional transvaginal sonography was an effective way for intrauterine abnormalities diagnosis.