超声宫腔水造影在宫腔病变中的应用评价  

Application value of Saline infusion sonohysterograph in the diagnosis of uterine cavity lesions

作　　者：李燕[1] 王金萍[1] 陈晓艺[1] LI Yan;WANG Jin-ping;CHEN Xiao-yi(Department of Ultrasound,The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei Anhui 230000,China)

机构地区：[1]安徽中医药大学第一附属医院超声医学科,安徽合肥230000

出　　处：《蚌埠医学院学报》2020年第4期511-514,共4页Journal of Bengbu Medical College

基　　金：安徽省重点研究与开发计划项目(1804h08020248)。

摘　　要：目的:探讨超声宫腔水造影在诊断常见宫腔病变中的应用及评价。方法:回顾采用经阴道二维联合三维超声、宫腔水造影检查并行宫腔镜或手术诊刮取材行病理检查的469例病人资料,分别将经阴道二维联合三维超声和宫腔水造影术对宫腔占位病变的诊断结果与手术结果对照,比较分析2种不同超声方法对宫腔病变诊断试验评价指标(灵敏度、特异度、符合率)。结果:以手术为标准,经阴道二维联合三维超声诊断宫腔息肉、黏膜下肌瘤、宫腔粘连的灵敏度、特异度和符合率均显著低于宫腔水造影(P <0. 01)。结论:宫腔水造影对宫腔病变的诊断较常规超声具有优势,可以作为临床不孕症病人寻找不孕原因的一种筛查手段。Objective::To evaluate the application value of saline infusion sonohysterograph(SIS)in the diagnosis of common uterine lesions.Methods:The clinical data of 469 patients detected by transvaginal two-dimen sional(2D)combined with three-dimen sional(3D)ultrasound,SIS and pathological examination were retrospectively analyzed.The results of transvaginal 2D combined with 3D ultrasound and SIS in the diagnosis of uterine cavity lesions were compared with the results of operation.The sensitivity,specificity and coincidence rate between two ultrasonic methods in the diagnosis of uterine cavity lesions were compared.Results:With hysteroscopy as the standard,the sensitivity,specificity and coincidence rate of 2D combined with 3D ultrasound in the diagnosis of uterine cavity polyps,submucosal leiomyoma and intrauterine adhension were significantly lower than those of SIS(P<0.01).Conclusions:The SIS has some advantages over conventional ultrasound in the diagnosis of intrauterine lesions,and can be used as a screening method for clinical infertility patients to find the cause of infertility.

关 键 词：子宫疾病 宫腔水造影 二维超声 三维超声 

分 类 号：R711[医药卫生—妇产科学]