经阴道二维及三维超声在纵隔子宫诊治中的应用  

Application of two-dimentional and three-dimentional transvaginal ultrasound in diagnosis and treatment of septate uterus

作　　者：徐圣佳[1] 周毓青 孙莉[1] 隋龙[1] 赵凡桂[1] 林如[1] 任芸芸[1] 

机构地区：[1]复旦大学附属妇产科医院超声科,上海200011 [2]上海市长宁区妇幼保健院超声科,上海200051

出　　处：《复旦学报（医学版）》2013年第5期574-578,共5页Fudan University Journal of Medical Sciences

摘　　要：目的探讨经阴道二维和三维超声在纵隔子宫的诊断、分型和治疗中的应用价值。方法收集我院黄浦院区2010年1月至2010年12月经阴道二维超声诊断为纵隔子宫(包括不全纵隔子宫和完全纵隔子宫)、并且经宫腔镜明确诊断的病例共98例,其中41例患者同时经阴道三维超声检查。分析经阴道二维和三维超声诊断纵隔子宫及分型的准确性及可行性。结果经阴道二维超声与宫腔镜诊断结果完全一致的为81例,诊断符合率为82.65%(81/98)。经阴道三维超声与宫腔镜诊断结果完全一致的为41例,诊断符合率为100%(41/41)。结论经阴道二维超声对纵隔子宫及分型有较高的诊断率,经阴道三维超声的准确率高于二维超声。Objective To discuss the application and clinical value of two-dimentional （2D） and three-dimentional （3D） transvaginal ultrasound in the diagnosis and treatment of septate uterus. Methods We collected 98 patients suspected sepate uterus （including incomplete and complete sepate uterus） by 2D transvaginal ultrasound in Huangpu branch of our hospital from Jan. to Dec. of 2010,whom also underwent hysteroscopy,to diagnose the uterine anomalies.Of the 98 patients,41 patients also underwent 3D transvaginal ultrasound scanning.We analyzed the accuracy and feasibility of 2D and 3D transvaginal ultrasond in the diagnosis of septate uterus. Results The diagnosis accordance rate of 2D transvaginal ultrasound was 82.65% （81/98）.The diagnosis accordance rate of 3D transvaginal ultrasound was 100% （41/41）. Conclusions 2D Transvaginal ultrasound permits a well assessment in the diagnosis of septate uterus.3D Transvaginal ultrasound permits a better assesment in the diagnosis of septate uterus.

关 键 词：经阴道二维超声 经阴道三维超声 纵隔子宫 

分 类 号：R711.74[医药卫生—妇产科学]