阴道三维宫腔超声造影诊断宫腔粘连的价值及准确性分析  

Value and Accuracy Analysis of Vaginal Three-dimensional Hysterography in the Diagnosis of Intrauterine Adhesions

作　　者：陈斯玲 刘春花 蔡菊芳 CHEN Siling;LIU Chunhua;CAI Jufang(Shenzhen Integrated Traditional Chinese and Western Medicine Hospital,Shenzhen 518100,China;不详)

机构地区：[1]深圳市中西医结合医院,广东深圳518100

出　　处：《中外医学研究》2023年第5期58-61,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：深圳市宝安区科技计划项目(20200519114945001)。

摘　　要：目的:研究阴道三维宫腔超声造影诊断宫腔粘连的价值及准确性。方法:研究对象为2020年12月—2021年12月深圳市中西医结合医院收治的50例疑似宫腔粘连患者,开展阴道三维超声和阴道三维宫腔超声造影检查后,再进行宫腔镜检查,并以宫腔镜检查结果作为诊断金标准,观察不同检查方法宫腔粘连检查诊断结果差异,分析误诊率、漏诊率、准确率、敏感度、特异度及检查满意度。结果:宫腔镜检查结果显示,阳性42例,阴性8例,阴道三维宫腔超声造影检查阳性预测值高于阴道三维超声,差异有统计学意义(P<0.05)。阴道三维超声和阴道三维宫腔超声造影检查误诊率对比,差异无统计学意义(P>0.05);阴道三维宫腔超声造影检查漏诊率低于阴道三维超声,准确率、敏感度、特异度及检查满意度均高于阴道三维超声,差异均有统计学意义(P<0.05)。结论:在宫腔粘连疾病的临床诊断中,阴道三维宫腔超声造影诊断价值高,不仅可有效提高患者检查满意度,而且还具有较高的诊断准确性,可有效减少漏诊,诊断敏感度及特异度高,值得推广。Objective: To study the value and accuracy of vaginal three-dimensional hysterography in the diagnosis of intrauterine adhesions. Method: The research subjects were 50 patients with suspected intrauterine adhesions who admitted to Shenzhen Integrated Traditional Chinese and Western Medicine Hospital from December 2020 to December 2021. After conducting vaginal three-dimensional ultrasonography and vaginal three-dimensional hysterography, and then hysteroscopy was performed, the examination results of hysteroscopy was used as the diagnostic gold standard, the differences of diagnosis results of different examination methods for intrauterine adhesions were observed, and the misdiagnosis, missed diagnosis, accuracy, sensitivity, specificity and examination satisfaction were analyzed. Result: The results of hysteroscopy showed that, 42 cases were positive and 8 cases were negative. The positive predictive value of vaginal three-dimensional hysterography was higher than that of vaginal three-dimensional ultrasonography, the difference was statistically significant(P<0.05). There was no significant difference in the misdiagnosis rate between vaginal three-dimensional ultrasonography and vaginal three-dimensional hysterography(P>0.05). The missed diagnosis rate of vaginal three-dimensional hysterography was lower than that of vaginal three-dimensional ultrasonography, and the accuracy, sensitivity, specificity and satisfaction were higher than those of vaginal three-dimensional ultrasonography, the differences were statistically significant(P<0.05). Conclusion: In the clinical diagnosis of intrauterine adhesions, the value of vaginal three-dimensional hysterography is high, which can not only effectively improve the patients’ satisfaction with examination, but also has high diagnostic accuracy, can effectively reduce missed diagnosis, and has high diagnostic sensitivity and specificity, which is worth of promoting.

关 键 词：阴道三维宫腔超声造影 阴道三维超声 宫腔粘连 准确度 敏感度 特异度 满意度 

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