经阴道三维超声检查在子宫腔粘连患者诊断中的作用分析  

Analysis of the Role of Transvaginal Three-dimension Ultrasonography in the Diagnosis of Patients with Intrauterine Adhesion

作　　者：朱丽群 古清英 杨丽平 ZHU Liqun;GU Qingying;YANG Liping(Ruijin Maternal and Child Health Care Hospital,Jiangxi Province,Ruijin 342500,China;不详)

机构地区：[1]江西省瑞金市妇幼保健院,江西瑞金342500

出　　处：《中国医学创新》2023年第23期103-106,共4页Medical Innovation of China

基　　金：赣州市指导性科技计划项目(20222ZDX8567)。

摘　　要：目的:分析经阴道三维超声检查在子宫腔粘连患者诊断中的作用。方法:选取2022年9月—2023年3月瑞金市妇幼保健院收治的60例子宫腔粘连患者。所有患者均行经阴道二维、三维超声检查,将宫腔镜检查结果作为“金标准”。比较重度粘连和轻中度粘连患者子宫内膜厚度(ED)和内膜容积,并对比经阴道二维、三维超声检查诊断子宫腔粘连的结果。结果:宫腔镜检查显示60例子宫腔粘连患者中,有55例轻中度粘连,5例重度粘连。重度粘连患者的二维及三维ED、宫腔镜及三维子宫内膜容积水平均低于轻中度粘连(P<0.05)。经阴道二维超声检查检出子宫腔粘连40例,检出率为66.67%,经阴道三维超声检查检出子宫腔粘连50例,检出率为83.33%。经阴道二维、三维超声检查检出率均低于宫腔镜检出率,且经阴道二维超声检查检出率低于经阴道三维超声检查检出率(P<0.05)。结论:重度粘连患者的ED、内膜容积水平均较低,经阴道三维超声检查诊断子宫腔粘连检出率较高。Objective:To analyze the role of transvaginal three-dimension ultrasonography in the diagnosis of patients with intrauterine adhesion.Method:A total of 60 patients with intrauterine adhesion admitted to Ruijin Maternal and Child Health Care Hospital from September 2022 to March 2023 were selected.All patients underwent transvaginal two-dimensional and three-dimensional ultrasonography,and the results of hysteroscopy was taken as the"gold standard".The endometrial thickness(ED)and endometrial volume of patients with severe and mild to moderate adhesion were compared,and the results of transvaginal two-dimensional and three-dimensional ultrasonography in diagnosing intrauterine adhesion were compared.Result:Hysteroscopy showed that of the 60 patients with intrauterine adhesion,55 cases were mild to moderate adhesion and 5 cases were severe adhesion.The levels of two-dimensional and three-dimensional ED,hysteroscopy and three-dimensional endometrial volume in patients with severe adhesion were lower than those in patients with mild to moderate adhesion(P<0.05).Transvaginal two-dimension ultrasonography detected 40 cases of intrauterine adhesion,the detection rate was 66.67%;transvaginal three-dimension ultrasonography detected 50 cases of intrauterine adhesion,the detection rate was 83.33%.The detection rate of transvaginal two-dimension and three-dimension ultrasonography were lower than that of hysteroscopy,and the detection rate of transvaginal two-dimension ultrasonography was lower than that of transvaginal three-dimension ultrasonography(P<0.05).Conclusion:The ED and endometrial volume levels of patients with severe adhesion are lower,and the dectection rate of transvaginal three-dimensional ultrasonography in the diagnosis of intrauterine adhesion is higher.

关 键 词：经阴道三维超声检查 子宫腔粘连 子宫内膜厚度 子宫内膜容积 

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]