三维超声在子宫疾病诊断中的应用  

Applications of three -dimensional ultrasonography in diagnosis of uterine diseases

作　　者：张玉慧[1] 李培霞[2] 周顺霞[3] 

机构地区：[1]吉林省通化市第三人民医院超声科,吉林通化134002 [2]吉林省通化市第三人民医院妇产科,吉林通化134002 [3]吉林省通化市东昌区人民医院超声科,吉林通化134002

出　　处：《中国医药导报》2011年第23期143-144,共2页China Medical Herald

摘　　要：目的:探讨三维超声成像在子宫疾病诊断中的价值。方法:对46例不同子宫疾病患者的二维超声检查及三维超声检查结果进行对比分析。结果:46例子宫疾病患者通过二维超声检查诊断,发现子宫肌瘤35例,子宫肌腺病6例,子宫内膜癌2例,子宫内膜息肉1例,其中有2例子宫内膜息肉漏诊,未能作出正常诊断,诊断符合率为95.6%;通过三维超声检查对3例子宫内膜息肉均做出诊断,其余病例与二维超声诊断结果相同,诊断符合率为100.0%,且图像清晰,形态直观,有立体感,尤其是可明确病变与宫腔及子宫内膜的立体关系及病变的表面结构。结论:三维超声成像对子宫疾病的诊断、鉴别诊断以及制订治疗方案均有重要价值。Objective： To explore the value of three-dimensional ultrasonography in diagnosis of uterine diseases. Meth- ods： Comparative analysis had been made between two-dimensional ultrasonic examinations and three-dimensional ultra- sonic examinations towards 46 patients with different uterine diseases. Results： Among the 46 cases, two-dimensional ul- trasonography made correct diagnosis to 35 cases of hysteromyoma, 6 cases of adenomyosis, 2 cases of carcinoma of en- dometrium and 1 case of endometrial polyp, and made failure diagnosis to 2 cases of endometrial polyp. The diagnostic ac- cordance rate was 95.6%, Meanwhile, three-dimensional ultrasonography made correct diagnosis to all cases including the 3 cases of endometrial polyp which were made failure diagnosis by two-dimensional counterpart, together with clear image, visible shape and stereoscopic effect, which especially contribute to clarify the relationship between pathological changes and uterine cavity and endometria as well as superficial structure of pathological changes. Its diagnostic accordance rate was 100.0%. Conclusion： Three-dimensional ultrasonography tremendously has values in diagnosis, differential diagnosis and making therapeutic schedule of uterine diseases.

关 键 词：子宫 三维超声 临床价值 

分 类 号：R711.74[医药卫生—妇产科学]