经阴道三维超声测定宫腔容积与血流变化在宫腔粘连患者诊断中的价值

The Value of Transvaginal Three-dimensional Ultrasound Measurement of Intrauterine Volume and Blood Flow in the Diagnosis of Intrauterine Adhesions

目的:探讨经阴道三维超声诊断宫腔粘连患者宫腔容积与血流变化的临床价值.方法:选择2016年1月-2019年1月在笔者所在医院进行诊断的宫腔粘连患者总共63例作为本次的研究对象,将其作为研究组;同时选择同一时期内体检正常的女性总共63例作为本次研究的对照组;两组均给予经阴道三维超声诊断,记录并比较两组的诊断结果、子宫内膜厚度、宫腔形态、宫腔容积及相关血流变化情况.结果:研究组共含有宫腔粘连患者63例,其中Ⅰ型、Ⅱ型、Ⅲ型及Ⅳ型宫腔粘连患者分别为19、29、9及3例,仅有3例患者未发现宫腔粘连现象,准确率为95.24%(60/63);研究组及对照组相比,前组的宫腔容积平均值显著低于后组(P<0.05);前组的VFI、VI及FI水平均显著低于后组(P<0.05).结论:对宫腔粘连患者使用经阴道三维超声诊断能够发现其宫腔容积比正常女性小,同时相关的血流变化参数存在较大程度的下降,在临床过程中使用经阴道三维超声诊断做出的评价比较客观,可以广泛使用.

Objective:To investigate the clinical value of transvaginal three-dimensional ultrasound in the diagnosis of uterine cavity volume and blood flow changes in patients with intrauterine adhesions.Method:A total of 63 patients with intrauterine adhesions who diagnosed in our hospital from January 2016 to January 2019 were selected as the study group,and 63 women with normal physical examination in the same period were selected as the control group.Two groups of patients were given transvaginal three-dimensional ultrasound diagnosis,recording and comparing the two groups of diagnosis results,endometrial thickness,uterine cavity shape,uterine cavity volume and related blood flow changes.Result:There were 63 cases of intrauterine adhesions in the study group,of which 19 cases were typeⅠ,29 cases were typeⅡ,9 cases were typeⅢand 3 cases were typeⅣ.Only 3 cases had no intrauterine adhesions,and the accuracy rate was 95.24%(60/63).Compared with the control group,the average volume of uterine cavity in the study group was significantly lower(P<0.05).Compared with the control group,the levels of VFI,VI and FI in the study group were significantly lower(P<0.05).Conclusion:Using transvaginal three-dimensional ultrasound to diagnose uterine adhesions can find that the volume of endometrium is smaller than that of normal women.At the same time,the related parameters of blood flow change decrease to a large extent.The evaluation made by transvaginal three-dimensional ultrasound in clinical process is objective and can be widely used.