静脉超声造影在评估宫腔粘连程度中的应用价值  

Value of Intravenous Contrast Ultrasound in Evaluating the Degree of Intrauterine Adhesions

作　　者：杨冰露 刘姣[1] 潘晓媚 Yang Binglu(Longgang District People’s Hospital,Shenzhen 518000)

机构地区：[1]深圳市龙岗区人民医院,广东深圳518000

出　　处：《黑龙江医药》2024年第6期1284-1287,共4页Heilongjiang Medicine journal

基　　金：2022年广东省深圳市龙岗区经济与科技发展专项资金医疗卫生科技计划项目合同书(非扶持类)项目(项目编号:LGWJ2021-029)《静脉超声造影在评估宫腔粘连程度中的应用价值》成果之一。

摘　　要：目的:探讨宫腔粘连程度应用经静脉超声造影评估的价值。方法:回顾性分析2022年2月—2024年2月我院收治的108例宫腔粘连患者资料,所有患者均行静脉超声造影检查。根据March分类法将患者按不同粘连程度分为轻度组、中度组、重度组,比较三组的超声造影指标差异,分析静脉超声造影评估不同程度宫腔粘连的价值。结果:轻度组子宫内膜厚度、容积>中度组>重度组(P<0.05);轻度组回声强度<重度组(P<0.05)。造影剂推注后与推注前相比,三组的VI、FI、VFI值均增加(P<0.05);造影剂推注前,仅轻度组与重度组的VI、FI、VFI值对比存在统计学差异(P<0.05);造影剂推注后,轻度、中度组的VI、FI、VFI值比重度组高(P<0.05),轻度组VI值比中度组高(P<0.05)。结论:静脉超声造影测量的子宫内膜参数及血流指数可以客观评估宫腔粘连程度,可以较好地预测不同程度宫腔粘连的发生。Objective:To investigate the value of transvenous contrast ultrasound in evaluating the degree of uterine adhesions.Methods:The data of 108 patients with intrauterine adhesions admitted to our hospital from February 2022 to February 2024 were retrospectively analyzed.All patients underwent venous contrast ultrasound examination.According to March classification,the patients were divided into mild group,moderate group and severe group according to different degrees of adhesions.The difference of CEUS indexes among the three groups was compared,and the value of intravenous CEUS in evaluating different degrees of intrauterine adhesions was analyzed.Results:The endometrial thickness and volume in mild group was higher than that in moderate group>that in severe group(P<0.05).The echo intensity of mild group was lower than that of severe group(P<0.05).The VI,FI and VFI values of the three groups were increased after contrast injection compared with those before injection(P<0.05).Before contrast agent injection,only the VI,FI and VFI values of the mild group and the severe group had statistical differences(P<0.05).After contrast agent injection,VI,FI and VFI values in mild and moderate groups were higher than those in gravity group(P<0.05),and VI values in mild group were higher than those in moderate group(P<0.05).Conclusion:The endometrial parameters and blood flow index measured by intravenous contrast-enhanced ultrasound can objectively evaluate the degree of intrauterine adhesions,and can predict the occurrence of different degrees of intrauterine adhesions.

关 键 词：静脉超声造影 宫腔镜 宫腔粘连 应用价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R719.3[医药卫生—诊断学]