3D-TVS Render成像联合OmniView技术诊断宫腔粘连的价值探究  

Value of 3D-TVS Render Imaging Combined with OmniView Technique in the Diagnosis of Intrauterine Adhesions

作　　者：欧阳小婷 易斐 邹雅琪 OUYANG Xiaoting;YI Fei;ZOU Yaqi(Yichun Maternal and Child Health Care Hospital,Jiangxi Province,Yichun 336000,China)

机构地区：[1]江西省宜春市妇幼保健院,江西宜春336000

出　　处：《中国医学创新》2023年第9期125-128,共4页Medical Innovation of China

基　　金：宜春市科技计划项目(JXYC2021KSA037)。

摘　　要：目的:探究经阴道三维超声(3D-TVS)三维渲染(Render)成像技术与自由解剖(OmniView)成像技术联合指导宫腔粘连(IUA)诊断的价值。方法:将2019年4月-2022年4月宜春市妇幼保健院收治的临床疑诊为IUA,且均接受阴道超声检查的76例患者所有资料进行回顾性分析,检查结果以宫腔镜为准,与3D-TVS Render、OmniView对比,评价两种技术联合使用对IUA的诊断效能。结果:Render技术漏诊18例(18/63,28.57%),误诊3例(3/13,23.08%),其诊断的敏感度为71.43%,特异度为76.92%,阳性预测值为93.75%,阴性预测值为35.71%,准确率为72.37%。OmniView技术漏诊14例(14/63,22.22%),误诊2例(2/13,15.38%),其诊断的敏感度为77.78%,特异度为84.62%,阳性预测值为96.08%,阴性预测值为44.00%,准确率为78.95%。Render联合OmniView技术漏诊6例(6/63,9.52%),误诊1例(1/13,7.69%),其诊断的敏感度为90.48%,特异度为92.31%,阳性预测值为98.28%,阴性预测值为66.67%,准确率为90.79%。Render、OmniView技术与宫腔镜检查的一致性检验的Kappa值分别为0.332、0.457;联合诊断与宫腔镜检查的一致性检验的Kappa值为0.718,一致性水平好。结论:3D-TVS Render成像联合OmniView成像技术诊断IUA准确率较高,且操作简单、无创,具有临床诊断价值。Objective:To explore the value of transvaginal three-dimensional ultrasound(3D-TVS)Render imaging technique combined with OmniView imaging technique on guiding the diagnosis of intrauterine adhesions(IUA).Method:All data of 76 patients who were clinically suspected of IUA in Yichun Maternal and Child Health Care Hospital and received vaginal ultrasound examination from April 2019 to April 2022 were retrospectively analyzed.The examination results were subject to hysteroscopy.Compared with 3D-TVS Render and OmniView,the diagnostic effectiveness of the combination of the two technologies for IUA were evaluated.Result:There were 18 cases(18/63,28.57%)of missed diagnosis and 3 cases(3/13,23.08%)of misdiagnosis by Render technique,and the diagnostic sensitivity,specificity,positive predictive value,negative predictive value and accuracy rate were 71.43%,76.92%,93.75%,35.71%and 72.37%respectively.OmniView technique showed 4 cases(14/63,22.22%)of missed diagnosis and 2 cases(2/13,15.38%)of misdiagnosis,with the sensitivity,specificity,positive predictive value,negative predictive value and accuracy rate of 77.78%,84.62%,96.08%,44.00%and 78.95%.Render combined with OmniView technique missed 6 cases(6/63,9.52%)and misdiagnosed 1 case(1/13,7.69%),and its sensitivity,specificity,positive predictive value,negative predictive value and accuracy rate were 90.48%,92.31%,98.28%,66.67%and 90.79%respectively.The Kappa values of Render and OmniView technique with hysteroscopy were 0.332 and 0.457.The Kappa value of combined diagnosis with hysteroscopy was 0.718,with a good level of consistency.Conclusion:3D-TVS Render imaging combined with OmniView imaging technique has high accuracy rate in diagnosing IUA,and the operation is simple and non-invasive and has clinical diagnostic value.

关 键 词：3D-TVS Render OmniView 宫腔粘连 

分 类 号：R711.74[医药卫生—妇产科学]