摘要
目的评价腔内三维超声自由解剖切面(OmniView)联合容积对比成像(VCI)用于诊断周围型宫腔粘连(IUA)的价值。方法对53例疑诊IUA患者行经阴道二维超声(2D-TVS)及腔内三维超声OmniView-VCI检查;以宫腔镜检查结果为金标准,与2D-TVS对比,评价OmniView-VCI对周围型IUA的诊断效能。结果宫腔镜检查确诊48例周围型IUA、5例无明显粘连。腔内三维超声OmniView-VCI准确诊断41例周围型IUA、4例无粘连,诊断准确率为84.91%(45/53);2D-TVS准确诊断32例周围型IUA、2例无粘连,诊断准确率64.15%(34/53);二者诊断准确率差异具有统计学意义(P=0.01)。受试者工作特征(ROC)曲线结果显示,OmniView-VCI和2D-TVS诊断周围型IUA的曲线下面积(AUC)分别为0.83[95%CI(0.61,1.00)]和0.53[95%CI(0.26,0.81)]。结论腔内三维超声OmniView-VCI可有效诊断周围型IUA。
Objective To explore the diagnostic value of three-dimensional transvaginal ultrasound OmniView combined with volume contrast imaging(VCI)for diagnosing peripheral intrauterine adhesion(IUA).Methods Fifty-three patients with suspected IUA underwent transvaginal two-dimensional ultrasound(2D-TVS)and intracavitary three-dimensional ultrasound OmniView-VCI.Taken hysteroscopy as the golden diagnostic standard,the diagnostic efficiency of OmniView-VCI and 2D-TVS for peripheral IUA was analyzed compared with 2D-TVS.Results Hysteroscopy confirmed 48 cases of peripheral IUA and 5 cases without adhesion.Omniview-VCI accurately diagnosed 41 cases of peripheral IUA and 4 cases without adhesion,and the accuracy of OmniView-VCI for diagnosing peripheral IUA was 84.91%(45/53).Meanwhile,2D-TVS accurately diagnosed 32 cases of peripheral IUA and 2 cases without adhesion,and the accuracy of 2D-TVS for diagnosing peripheral IUA was 64.15%(34/53).There was significant difference of diagnostic accuracy between OmniView-VCI and 2D-TVS(P=0.01).The results of receiver operating characteristic(ROC)curve showed that the area under the curve(AUC)of OmniView-VCI and 2D-TVS was 0.83(95%CI[0.61,1.00])and 0.53(95%CI[0.26,0.81]),respectively.Conclusion Three-dimensional transvaginal ultrasound OmniView combined VCI could effectively diagnose peripheral IUA.
作者
南凤娟
鲁晨曦
张华贞
刘志勇
师伟
NAN Fengjuan;LU Chenxi;ZHANG Huazhen;LIU Zhiyong;SHI Wei(Department of Gynecology,the Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250012,China;Experiment Center,the Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250012,China)
出处
《中国介入影像与治疗学》
北大核心
2022年第6期348-351,共4页
Chinese Journal of Interventional Imaging and Therapy
基金
国家自然科学基金面上项目(81873330)
山东省泰山学者工程项目(tsqn201909185)。
关键词
子宫疾病
腔内超声检查
宫腔粘连
成像
三维
自由解剖切面
uterine diseases
endosonography
intrauterine adhesions
imaging,three-dimensional
OmniView
