摘要
目的:研究经阴道三维超声诊断宫腔粘连的临床价值。方法:2017年6月-2018年5月收治宫腔粘连患者40例,所有患者均实施阴道二维超声诊断和阴道三维超声诊断,比较诊断结果。结果:阴道三维超声诊断准确率为95%,二维超声诊断准确率为65%,三维超声诊断准确率明显高于二维超声,差异有统计学意义(P<0.05);三维超声显示周围型12例(30%),中央型18例(45%),混合型8例(20%)。二维超声显示周围型8例(20%),中央型10例(25%),混合型8例(20%)。与手术结果对比,二维与三维超声在混合型诊断中符合率均较高,而三维超声在周围型、中央型粘连诊断中符合率明显高于二维超声,差异有统计学意义(P<0.05)。结论:为宫腔粘连患者实施阴道三维超声诊断,可提高诊断准确性,具有良好的应用价值,值得推广。
Objective:To study the clinical value of transvaginal three-dimensional ultrasound in diagnosis of intrauterine adhesion.Methods:From June 2017 to May 2018,40 patients with uterine cavity adhesion were treated,All patients underwent two-dimensional vaginal ultrasound and three-dimensional vaginal ultrasound,Compare the diagnostic results.Results:The diagnostic accuracy of 3 D ultrasound was 95%,The accuracy of two-dimensional ultrasound is 65%,The accuracy of 3 D ultrasound diagnosis was significantly higher than that of 2 D ultrasound,difference was statistically significant(P<0.05);Three-dimensional ultrasound showed peripheral type in 12 cases(30%),Central 18(45%),Mixed 8 cases(20%).Two-dimensional ultrasound showed 8 peripheral(20%),10 central(25%)and 8 mixed(20%).Compared with the surgical results,the coincidence rate of two-dimensional and three-dimensional ultrasound in mixed diagnosis was higher,while that of three-dimensional ultrasound in peripheral and central adhesion diagnosis was significantly higher than that of two-dimensional ultrasound(P<0.05).Conclusion:3 D vaginal ultrasound diagnosis for patients with uterine cavity adhesion can improve the accuracy of diagnosis,has good application value,and is worth popularizing.
作者
李影
倪东贺
Li Ying;Ni Donghe(People's Hospital of Jilin City,Jilin Jilin 132011;Jilin Integrated Traditional Chinese and Western Medicine Hospital of Jilin Province,Jilin Jilin 132012)
出处
《中国社区医师》
2020年第33期138-139,共2页
Chinese Community Doctors
关键词
三维超声
宫腔粘连
超声诊断
阴道
子宫内膜
妇科疾病
Three-dimensional ultrasound
Intrauterine adhesion
Ultrasonic diagnosis
The vagina
Endometrium
Gynaecological disease
