三维阴道超声对育龄妇女子宫异常出血的诊断价值  

Diagnostic value of three-dimensional transvaginal ultrasound in abnormal uterine bleeding of women at child-bearing age

作　　者：罗莉[1] 陈莞春[2] 贺芝英[1] 段学蕴[2] 张秀果[1] 吕晓亮[1] 韩淑珍[3] 吴宏[2] 

机构地区：[1]广东省东莞市厚街医院妇产科,广东东莞523945 [2]广东省东莞市厚街医院超声科,广东东莞523945 [3]广东省东莞市厚街医院病理室,广东东莞523945

出　　处：《广东医学院学报》2007年第6期616-617,623,共3页Journal of Guangdong Medical College

摘　　要：目的探讨三维阴道超声(3D-TVS)对育龄妇女异常子宫出血患者的诊断价值。方法对我院收治的58例育龄妇女子宫异常出血患者进行3D-TVS检查,同时进行三维成像,并与病理检查结果及二维经阴道超声(2D-TVS)结果进行对比分析。结果58例中子宫内膜息肉29例,子宫黏膜下肌瘤11例,宫内节育器(IUD)异常9例,子宫内膜增生过长9例。以病理诊断结果为标准,2D-TVS的诊断符合率为72.4%,3D-TVS的诊断符合率为94.8%,两者差异有统计学意义(X^2=10.641,P<0.01)。结论3D-TVS能直接观察子宫及宫腔病灶的立体形态,能直观显示病灶与内膜、肌层的空间关系,大大提高了诊断的准确率,尤其对宫腔小型病变如黏膜下小肌瘤、内膜息肉的诊断准确率更高。Objective To investigate the diagnostic value of three- dimensional transvaginal ultrasound （3D-TVS） in abnormal uterine bleeding of women at child-bearing age. Methods Fifty-eight women at child-bearing age with abnormal uterine bleeding were examined by the 3D-TVS with three dimensional imaging. The diagnosis result was compared with those of pathol- ogy and two-dimensional transvaginal ultrasound （2D-TVS）. Results Of 58 patients diagnosed by pathology, 29 cases were diag- nosed as endometrial polyp, 11 cases as submucous myoma of uterus, 9 cases as IUD transmigration, and 9 cases as hyperplasia of endometriurn. The pathological diagnosis was taken as the standard. Compared with the pathological diagnosis, the consistent rate of the diagnosis is 72.4 % for 2D-TVS and 94.8 % for 3D-TVS. Conclusion The 3D-TVS could raise the diagnostic accuracy by directly displaying the morphology of the lesions of uterus, especially for the tiny lesions, such as small submucous myoma and en- dometrial polyps.

关 键 词：经阴道超声 三维重建 子宫异常出血 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.5[医药卫生—诊断学]