经阴道三维超声与宫腔声学造影对宫腔粘连的诊断价值比较  

Comparison of diagnostic value of transvaginal three-dimensional ultrasound and sonohysterography in intrauterine adhesions

作　　者：阮程晓 RUAN Chengxiao(Department of Imaging of Pingqiao District Maternal and Child Health Hospital,Xinyang 464000 Henan,China)

机构地区：[1]信阳市平桥区妇幼保健院影像科,河南信阳464000

出　　处：《中国民康医学》2023年第19期128-131,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较经阴道三维超声(3D-TVS)与宫腔声学造影(SHG)对宫腔粘连的诊断价值。方法:选取2019年9月至2022年9月于该院就诊的80例疑似宫腔粘连患者进行前瞻性研究,均接受3D-TVS、SHG及宫腔镜检查,以宫腔镜检查为金标准,比较3D-TVS与SHG检查诊断宫腔粘连及粘连分度、分型的价值,并比较两种方法的并发症发生率。结果:80例疑似宫腔粘连患者经宫腔镜检查确诊为宫腔粘连65例(81.25%);3D-TVS诊断宫腔粘连的灵敏度、特异度、准确度分别为90.77%、66.67%、86.25%,SHG诊断宫腔粘连的灵敏度、特异度、准确度分别为93.85%、86.67%、92.50%,两者诊断价值比较,差异均无统计学意义(P>0.05);3D-TVS与SHG对不同宫腔粘连分度和分型的检出率比较,差异均无统计学意义(P>0.05);3D-TVS检查的并发症发生率低于SHG检查,差异有统计学意义(P<0.05)。结论:3D-TVS与SHG对宫腔粘连及粘连分度、分型的诊断效能相当,但3D-TVS为无创操作,安全性较好,推荐在宫腔粘连术前筛查中优先应用该方法。Objective:To compare diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)and sonohysterography(SHG)in intrauterine adhesions.Methods:A prospective study was conducted on 80 patients with suspected intrauterine adhesions who were admitted to the hospital from September 2019 to September 2022.All patients underwent 3D-TVS,SHG and hysteroscopy.Using the results of hysteroscopy as the gold standard,the value of 3D-TVS and SHG in the diagnosis of intrauterine adhesions as well as the adhesion indexing and graduation were compared.The incidence of complications was also compared between the two methods.Results:80 patients with suspected intrauterine adhesions were examined by hysteroscopy,and 65 cases(81.25%)were diagnosed.The sensitivity,the specificity and the accuracy of 3D-TVS in the diagnosis of intrauterine adhesions were 90.77%,66.67%and 86.25%,separately,while those of SHG were 93.85%,86.67%and 92.50%,separately.There was no significant difference in the diagnostic value between the two methods(P>0.05).There was no significant difference in the detection rate of different adhesion indexing and graduation between 3D-TVS and SHG(P>0.05).The incidence of complications in 3D-TVS examination was lower than that in SHG examination,and the difference was statistically significant(P<0.05).Conclusions:The diagnostic efficiencies of 3D-TVS and SHG for intrauterine adhesions and adhesion indexing and graduation are comparable,but 3D-TVS is a non-invasive method with good safety.It is recommended to give priority to this method in the preoperative screening of intrauterine adhesions.

关 键 词：经阴道三维超声 宫腔声学造影 宫腔粘连 粘连分度 粘连分型 诊断价值 

分 类 号：R711.14[医药卫生—妇产科学]