经阴道三维与二维超声对剖宫产术后子宫切口瘢痕处憩室诊断的对比分析  

Comparative Analysis on Transvaginal Three-Dimensional and Two-Dimensional Ultrasound for the Diagnosis of Uterine Incision Scar Diverticulum After Cesarean Section

作　　者：黄红艳[1] 周苏晋[1] 吴碧君[1] 王金霞[1] 

机构地区：[1]广东省第二人民医院超声科,广东广州510317

出　　处：《临床医学工程》2015年第5期540-541,共2页Clinical Medicine & Engineering

摘　　要：目的比较阴道三维与二维超声检查对剖宫产术后子宫切口瘢痕处憩室的诊断价值。方法对2009年5月至2014年6月间来我院就诊的剖宫产术后疑诊为子宫切口瘢痕处憩室者的67例患者,分别采用传统二维超声检查和经阴道三维超声对其进行诊断,比较两种方法诊断的阳性率。结果经阴道三维子宫瘢痕憩室成像诊断阳性率为94.03%,明显高于经阴道二维超声诊断的阳性率70.15%(P<0.05),尤其对轻型和中型子宫切口瘢痕处憩室患者较二维超声更准确。两种超声方法诊断子宫切口瘢痕处憩室符合率为73.13%,一致性不好(Kappa=0.167,P=0.042)。结论经阴道三维超声诊断子宫切口瘢痕处憩室优于阴道二维超声,费用低、准确、图像清晰而全面,值得在临床推广。Objective To compare the clinical value of transvaginal three-dimensional and two-dimensional ultrasound for the diagnosis of uterine incision scar diverticulum after cesarean section. Methods Sixty-seven patients with uterine incision scar diverticulum after cesarean section admitted to our hospital from May 2009 to June 2014 were selected and diagnosed by transvaginal three-dimensional and two-dimensional ultrasound. The positive rates ofthe two methods were compared. Results The positive diagnostic rate oftransvaginal three-dimensional ultrasound was 94.03%, significantly higher than 70.15% of transvaginal two-dimensional ultrasound （P 〈0.05）. The coincidence rate of the two methods was 73.13%, with bad consistency （Kappa = 0.167, P = 0.042）. Conclusions Transvaginal three- dimensional ultrasound was superior to transvaginal two-dimensional ultrasound for the diagnosis of uterine incision scar diverticulum after cesarean section, with low-cost, high accuracy, clear and comprehensive picture.

关 键 词：经阴道三维超声 经阴道二维超声 子宫切口瘢痕 憩室 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.74[医药卫生—诊断学]