经阴道三维超声在不全纵隔子宫和弓形子宫鉴别中的诊断标准  

Diagnostic criteria of transvaginal three-dimensional ultrasonography in differentiation between incomplete uterus septum and arcuate uterus

作　　者：刘欣友 胡萌 陆萍 

机构地区：[1]广东省东莞市康华医院超声科,523080

出　　处：《临床超声医学杂志》2013年第8期580-581,共2页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨经阴道三维超声在不全纵隔子宫和弓形子宫鉴别中的诊断标准。方法 63例不全纵隔子宫和15例弓形子宫患者,经阴道三维超声测量其双侧内膜夹角和子宫底凹陷深度占宫腔深度的比例。结果不全纵隔子宫双侧内膜夹角较锐利,为64～90°;弓形子宫内膜夹角钝圆,为103～152°。不全纵隔子宫的子宫底内膜凹陷深度占宫腔深度50%以上,而弓形子宫内膜凹陷深度占宫腔深度50%以下。结论经阴道三维超声检查可较准确鉴别不全纵隔子宫和弓形子宫,具有很高的临床价值。Objective To explore the diagnostic criteria of transvaginal three-dimensional （3D） ultrasonography in differentiation between incomplete uterus septum and arcuate uterus. Methods Sixty-three patients with suspected incomplete uterus septum and 15 patients with suspected arcuate uterus were examined by transvaginal 3D ultrasonography. The angle between bilateral endometrium and the ratio of depth of uterine fundus depression and depth of uterine cavity were tested. Results For incomplete uterus septum, the angle between bilateral endometrium was sharp from 64° to 90°; for arcuate uterus, the angle was 103° to 152°. The ratio of depth of uterine fundus depression and depth of uterine cavity was more than 50% for incomplete uterus septum, while less than 50% for arcuate uterus. Conclusion Transvaginal 3D ultrasonography can accurately distinguish incomplete uterus septum and arcuate uterus. It is of high value in clinical practice.

关 键 词：超声检查 经阴道 三维 不全纵隔子宫 弓形子宫 

分 类 号：R714.15[医药卫生—妇产科学] R445.1[医药卫生—临床医学]