经阴道三维超声联合断层超声成像技术对宫腔异常的诊断价值  

Clinical significance of transvaginal three-dimensional ultrasound combined with tomographic ultrasonography in diagnosis of uterine abnormalities

作　　者：刘建辉[1] 齐艳华[1] 贾素花 杨锡珍 LIU Jianhui;QI Yanhua;JIA Suhua(Department of Ultrasound Diagnosis,Beidaihe Hospital,Hebei,Qinhuangdao 066100,China)

机构地区：[1]河北省秦皇岛市北戴河医院超声科,066100

出　　处：《河北医药》2020年第20期3106-3108,3112,共4页Hebei Medical Journal

摘　　要：目的探讨经阴道三维超声联合断层超声成像技术对宫腔异常的临床诊断价值。方法选取妇产科就诊的宫腔异常患者180例,回顾分析其有创检查前三维超声联合断层超声成像技术和三维超声检查结果,探讨超声联合检查方式对宫腔异常的临床诊断价值。结果78例患者疑似子宫畸形,经宫腔镜检查诊断为弓形子宫者38例,单用经阴道三维超声检查漏诊2例,经阴道三维超声联合断层超声成像技术检查全部诊断正确;宫腔镜有创检查诊断为不全纵隔子宫者30例,单用经阴道三维超声检查误诊为弓形子宫3例,联合超声检查全部诊断正确;宫腹腔镜回顾性检查诊断为完全纵隔子宫者4例,单用经阴道三维超声和联合超声检查全部诊断正确;经宫腔镜检查诊断为单角子宫者6例,单用经阴道三维超声和联合超声检查全部诊断正确。102例患者疑似宫腔病变,经宫腔镜及病理结果诊断为宫腔占位者56例,其中黏膜下肌瘤3例,子宫内膜息肉53例,单用经阴道三维超声检查漏诊内膜息肉4例,用经阴道三维超声和联合超声检查对所有黏膜下肌瘤诊断正确;经宫腔镜检查诊断为宫腔粘连者46例,经阴道三维超声检查漏诊18例,联合超声检查漏诊9例。结论经阴道三维超声联合断层超声成像技术对子宫畸形的诊断准确率可达100%,对宫腔病变的诊断存在一定漏诊;单用三维超声检查对子宫畸形和宫腔病变的诊断均存在一定的漏诊率,且对宫腔病变的漏诊率高于联合超声检查结果。Objective To investigate the clinical significance of transvaginal three-dimensional ultrasound combined with tomographic ultrasonography in diagnosis of uterine abnormalities.Methods A total of 180 patients with abnormal uterine cavity who were treated in our hospital were enrolled in the study.The examination results by transvaginal three-dimensional ultrasound combined with tomographic ultrasonography were retrospectively analyzed,and the clinical significance of transvaginal three-dimensional ultrasound combined with tomographic ultrasonography in diagnosis of uterine abnormalities was explored.Results Among the 78 patients with suspected uterine malformation,38 cases were diagnosed as arcuate uterus by hysteroscopy,2 cases were missed diagnosis by vaginal three-dimensional ultrasound,and all of them were diagnosed correctly by vaginal three-dimensional ultrasound combined with tomography.And 30 cases were diagnosed as incomplete mediastinal uterus by hysteroscopy,3 cases were misdiagnosed as arcuate uterus by vaginal three-dimensional ultrasonography,and all of them were diagnosed correctly by combined detection of ultrasonography.Moreover 4 cases were diagnosed as complete mediastinal uterus by retrospective hysteroscopy,all the patients were diagnosed correctly by transvaginal three-dimensional ultrasound and combined detection of ultrasonography.Six cases of unicorn uterus were diagnosed by hysteroscopy,all of them were diagnosed correctly by three-dimensional ultrasound and combined ultrasound.Among 102 patients with suspected uterine lesions,56 cases were diagnosed as uterine space occupying by hysteroscopy and pathology,including 3 cases of submucous myoma,53 cases of endometrial polyps and 4 cases of endometrial polyps were missed diagnosis by vaginal three-dimensional ultrasound.All the submucous myomas were diagnosed correctly by transvaginal three-dimensional ultrasound and combined ultrasonography.In addition 46 cases were diagnosed as uterine adhesion by hysteroscopy,and 18 cases were missed diag

关 键 词：经阴道三维超声 断层超声成像技术 宫腔异常 

分 类 号：R445.1[医药卫生—影像医学与核医学]