三维能量多普勒超声诊断宫腔粘连的价值分析  

The Value Analysis of Three-dimensional Energy Doppler Ultrasound in Diagnosing Intrauterine Adhesions

作　　者：吕立威 丘雅波 符俊娟 LüLiwei;Qiu Yabo;Fu Junjuan(Department of Ultrasound,Hainan Women and Children's Mecical Center.Haikou.,Hainan 570206,China)

机构地区：[1]海南省妇女儿童医学中心超声科,海口市570206

出　　处：《中国超声医学杂志》2021年第1期70-73,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨三维能量多普勒超声诊断宫腔粘连的价值。方法回顾性分析本院112例疑似宫腔粘连患者的临床资料。所有患者入院后均分别行二维多普勒超声、三维能量多普勒超声及宫腔镜检查。以宫腔镜检查结果为金标准,判断二维多普勒超声、三维能量多普勒超声对宫腔粘连诊断效能。结果 112例患者宫腔镜检查显示,宫腔粘连92例,宫腔正常20例;以宫腔镜检查结果为金标准,三维能量多普勒超声对宫腔粘连诊断灵敏度、特异度、准确度、阳性预测值、阴性预测值分别为97.83%、95.00%、97.32%、98.90%、90.48%,高于二维多普勒超声的90.22%、65.00%、85.71%、92.22%、59.09%;宫腔粘连组VI、FI、VFI低于宫腔正常组(P<0.05);轻度粘连、中度粘连、重度粘连患者VI、FI、VFI呈下降趋势(P<0.05)。结论宫腔粘连诊断中应用三维能量多普勒超声的价值显著。Objective To explore the value of three-dimensional energy Doppler ultrasound in diagnosing intrauterine adhesions. Methods The clinical data of 112 patients with suspected intrauterine adhesions were retrospectively analyzed. Two dimensional Doppler ultrasound, three dimensional energy Doppler ultrasound and hysteroscopy were performed in 112 patients after admission. The results of hysteroscopy were used as the gold standard to determine the diagnostic efficiency of two dimensional Doppler ultrasound and three dimensional energy Doppler ultrasound in intrauterine adhesions. Results Hysteroscopy of 112 patients showed that there were 92 cases of intrauterine adhesion and 20 cases of normal intrauterine adhesion. Using the results of hysteroscopy as the gold standard, the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of three-dimensional energy Doppler ultrasound for the diagnosis of intrauterine adhesions were 97.83%, 95.00%, 97.32%, 98.90% and 90.48% respectively, which were higher than those of two-dimensional Doppler ultrasound(90.22%, 65.00%, 85.71%, 92.22% and 59.09%). VI, FI and VFI in the intrauterine adhesion group were lower than those in the normal uterine cavity group(P<0.05). VI, FI and VFI of patients with mild, moderate and severe adhesions showed a downward trend(P<0.05). Conclusions Three-dimensional energy Doppler ultrasound is of great value in the diagnosis of intrauterine adhesions.

关 键 词：宫腔粘连 二维多普勒超声 三维能量多普勒超声 诊断 

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]