三种超声诊断方法在剖宫产瘢痕憩室的应用价值

The application value of three ultrasound diagnosis methods in post-cesarean scar diverticulum

目的:探讨经阴道二维超声、三维超声及负性宫腔声学造影对剖宫产术后子宫瘢痕憩室的诊断价值。方法:收治既往有剖宫产史且行输卵管超声造影检查的不孕患者92例,造影置管前进行经阴道二维检查及三维检查,造影结束后行负性宫腔造影,观察造影前后剖宫产瘢痕的完整与否。结果:负性宫腔声学造影瘢痕憩室的检出率优于二维超声及三维超声,差异有统计学意义(P<0.05)。结论:负性宫腔声学造影在诊断瘢痕憩室中的敏感性最高,明显优于经阴道二维及三维超声。

Objective:To explore the value of transvaginal two-dimensional ultrasound,three-dimensional ultrasound and saline infusion sonohysterography in the diagnosis of post-cesarean section scar diverticulum(PSCD).Methods:A total of 92 cases of infertility patients with a history of cesarean section and undergoing salpingo-contrast ultrasonography,transvaginal two-dimensional examination and three-dimensional imaging were performed before catheterization,and saline infusion sonohysterography was performed after radiography to observe the integrity of cesarean section scar before and after radiography.Results:The detection rate of saline infusion sonohysterography in scar diverticulum was better than that of two-dimensional ultrasound and three-dimensional ultrasound,the difference was statistically significant(P<0.05).Conclusion:Saline infusion sonohysterography has the highest sensitivity in the diagnosis of PSCD,which is significantly better than transvaginal two-dimensional and three-dimensional ultrasound.