经阴道三维超声Omni view成像诊断宫腔粘连的价值

Value of transvaginal three-dimensional Omni view ultrasound imaging in diagnosis of uterine cavity adhesion

目的探讨经阴道三维超声Omni view成像在诊断宫腔粘连中的应用价值。方法选取经宫腔镜手术确诊为宫腔粘连的患者168例,回顾性分析其经阴道三维超声Omni view成像及经阴道二维超声成像的声像图表现,比较两种检查方法对宫腔粘连的检出率和诊断准确率。结果经阴道三维超声Omni view成像对宫腔粘连的检出率为83.33%,明显高于经阴道二维超声成像的69.05%,两者比较差异有统计学意义(P<0.05);经阴道三维超声Omni view成像对Ⅲ度和Ⅳ度宫腔粘连的诊断准确率(85.00%、82.60%),均高于经阴道二维超声成像(22.50%、30.43%),差异均有统计学意义(均P<0.05)。结论经阴道三维超声Omni view成像对宫腔粘连的检出率和诊断准确率相对较高,值得临床推广应用。

Objective To assess the value of transvaginal three-dimensional Omni view ultrasound imaging in diagnosis of uterine cavity adhesion. Methods One hundred and sixty-eight patients with uterine cavity adhesion diagnosed by hysteroscopy underwent transvaginal three-dimensional Omni view ultrasound imaging and transvaginal two-dimensional ultrasound imaging. The detectable rate and the diagnostic accurate rate of the two methods were compared. Results The detectable rate of transvaginal three-dimensional Omni view ultrasound imaging in uterine cavity adhesion was significantly higher than that of transvaginal two-dimensional ultrasound imaging(83.33% vs 69.05%, P<0.05). The diagnostic accuracy of3-D Omni view ultrasound imaging in degree III and degree IV uterine cavity adhesion(85.00%, 82.60%) were significantly higher than those of 2-D ultrasound imaging(22.50%, 30.43%)(both P<0.05). Conclusion The detectable rate and the diagnostic ccurate rate of transvaginal three-dimensional Omni view ultrasound imaging for uterine cavity adhesion is relatively higher,which is worth promoting in clinical application.