三维超声定量参数在宫腔粘连诊断中的应用价值  

Application Value of Three-dimensional Ultrasound Quantitative Parameters in the Diagnosis of Intrauterine Adhesions

作　　者：黄蔚 苏海庆[1] 李业钊[1] 张霞[1] HUANG Wei;SU Haiqing;LI Yezhao;ZHANG Xia(Department of Ultrasound,Minzu Hospital of Guangxi Zhuang Autonomous Region/Affiliated Minzu Hospital of Guangxi Medical University,Nanning 530001,Guangxi,P.R.China)

机构地区：[1]广西壮族自治区民族医院/广西医科大学附属民族医院超声科,广西南宁530001

出　　处：《影像科学与光化学》2021年第5期732-735,共4页Imaging Science and Photochemistry

摘　　要：探讨三维超声在宫腔粘连早期诊断的价值。选取疑似宫腔粘连患者110例,给予阴道三维超声及宫腔镜检查。最终确诊宫腔粘连患者72例。宫腔粘连患者妊娠次数≥2次、人流次数≥2次和清宫次数≥2次的比例明显高于宫腔正常者(P<0.05);阴道三维超声诊断宫腔粘连的灵敏性、特异性、准确率、阳性预测值和阴性预测值均高于80.00%;三维超声诊断粘连程度结果与宫腔镜结果Kappa值为0.797,P<0.05;中重度粘连患者子宫内膜容积(V)、血管化指数(VI)、血流指数(FI)、血管化血流指数(VFI)和子宫内膜厚度(ET)明显低于轻度粘连患者(P<0.05);V、VI、FI、VFI和ET预测中重度粘连的ROC曲线下面积均较高(P<0.05)。三维超声在宫腔粘连早期及粘连程度诊断中有较好的应用价值,值得临床使用。The value of three-dimensional ultrasound in the early diagnosis of intrauterine adhesions was explored in this paper.A total of 110 patients with suspected intrauterine adhesions were selected and given three-dimensional vaginal ultrasound and hysteroscopy.Finally,72 cases were diagnosed as intrauterine adhesions.The proportion of pregnancy times≥2,abortion times≥2 and curettage times≥2 in patients with intrauterine adhesions were significantly higher than those in patients with normal uterine cavity(P<0.05).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of three-dimensional vaginal ultrasound in the diagnosis of intrauterine adhesions were higher than 80.00%.The Kappa value of three-dimensional ultrasound and hysteroscopy was 0.797,P<0.05.The endometrial volume(V),vascularization index(VI),flow index(FI),vascularization flow index(VFI)and endometrial thickness(ET)of patients with moderate to severe adhesions were significantly lower than those of patients with mild adhesions(P<0.05).The area under the ROC curve of moderate and severe adhesion predicted by V,VI,FI,VFI and ET was high,P<0.05.Three-dimensional ultrasonography has good application value in the early diagnosis of intrauterine adhesions and the degree of adhesions,which is worthy of clinical use.

关 键 词：三维超声 宫腔粘连 粘连程度 诊断价值 

分 类 号：R711.74[医药卫生—妇产科学]