宫腔声学造影联合经阴道三维超声在宫腔粘连诊断中的效能  

Efficiency of sonohysterography combined with transvaginal three-dimensional ultrasound in diagnosis of intrauterine adhesions

作　　者：施育华 SHI Yuhua(Medical Imaging Department of Jiaozuo Maternal and Child Health Hospital,Jiaozuo 454000 Henan,China)

机构地区：[1]焦作市妇幼保健院医学影像科,河南焦作454000

出　　处：《中国民康医学》2024年第13期136-138,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:分析宫腔声学造影(SHG)联合经阴道三维超声(3D-TVUS)在宫腔粘连诊断中的效能。方法:选取2020年4月至2023年4月该院收治的125例疑似宫腔粘连患者进行前瞻性研究,所有患者均进行SHG、3D-TVUS检查,以宫腔镜检查结果为“金标准”,比较SHG、3D-TVUS单项及联合检查诊断宫腔粘连的结果、效能,并采用Kappa检验法分析SHG、3D-TVUS单项及联合检查与宫腔镜检查诊断的一致性。结果:金标准结果显示,125例疑似宫腔粘连患者中,阳性98例,阴性27例;SHG检查结果显示,阳性96例,阴性29例;3D-TVUS检查结果显示,阳性95例,阴性30例;SHG联合3D-TVUS检查结果显示,阳性96例,阴性29例。SHG联合3D-TVUS检查诊断的灵敏度、特异度、准确度均高于SHG、3D-TVUS单项检查,差异有统计学意义(P<0.05);Kappa检验结果显示,SHG、3D-TVUS联合检查与宫腔镜检查诊断宫腔粘连的一致性良好,且高于SHG、3D-TVUS单项检查诊断。结论:SHG联合3D-TVUS检查诊断宫腔粘连的效能高于二者单项检查诊断。Objective:To analyze efficiency of sonohysterography(SHG) combined with transvaginal three-dimensional ultrasound(3D-TVUS) in diagnosis of intrauterine adhesions.Methods:A prospective study was conducted on 125 patients with suspected intrauterine adhesions admitted to the hospital from April 2020 to April 2023.SHG and 3D-TVUS were performed in all patients.Using the results of hysteroscopy as the “gold standard”,the results and the efficiencies of single and combined detection of SHG and 3D-TVUS in the diagnosis of intrauterine adhesions were compared.Kappa test was used to analyze the consistencies of single and combined detection of SHG and 3D-TVUS with hysteroscopy.Results:The gold standard showed that among the 125 patients with suspected intrauterine adhesions,98 were positive and 27 were negative;SHG test showed that 96 cases were positive and 29 cases were negative;3D-TVUS showed that 95 cases were positive and 30 cases were negative;and SHG combined with 3D-TVUS showed that 96 cases were positive and 29 cases were negative.The sensitivity,the specificity and the accuracy of SHG combined with 3D-TVUS were higher than those of SHG and 3D-TVUS,and the differences were statistically significant(P<0.05).Kappa test showed that the combined detection of SHG and 3D-TVUS had good consistency with hysteroscopy in the diagnosis of intrauterine adhesions,which was higher than that of single detection of SHG and 3D-TVUS.Conclusions:The efficiency of SHG combined with 3D-TVUS in the diagnosis of intrauterine adhesions is higher than that of single detection.

关 键 词：宫腔粘连 宫腔声学造影 经阴道三维超声 宫腔镜 准确度 

分 类 号：R711.74[医药卫生—妇产科学]