三维能量多普勒超声诊断宫腔粘连的价值分析  

Value analysis of three-dimensional energy Doppler ultrasonography in diagnosing intrauterine adhesions

作　　者：李小美 Li Xiaomei(Department of Ultrasound,Renci Hospital in Xuzhou,Xuzhou 221000,China)

机构地区：[1]徐州仁慈医院超声科,江苏徐州221000

出　　处：《实用妇科内分泌电子杂志》2024年第22期150-152,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探析三维能量多普勒超声诊断宫腔粘连的价值。方法选取本院收治的疑似宫腔粘连患者92例为研究对象,所有患者均接受二维多普勒超声及三维能量多普勒超声检查,以临床宫腔镜检查结果为参照标准,比较二维及三维超声的诊断效能。结果经宫腔镜检查,92例患者中确诊宫腔粘连80例,宫腔正常12例,检出率为86.96%,其中轻度粘连36例,中度粘连25例,重度粘连19例。经二维超声诊断检查检出75例宫腔粘连,17例宫腔正常,检出率为81.52%;经三维能量超声检查检出79例宫腔粘连,13例宫腔正常,检出率为85.87%。三维能量超声检查的准确性、特异性和敏感性均明显高于二维超声检查(P<0.05)。结论三维能量多普勒超声在宫腔粘连诊断中的应用价值显著,不仅诊断准确度高,且能分辨宫腔粘连程度,便于临床进一步对症治疗。Objective To explore the value of three-dimensional energy Doppler ultrasonography in diagnosing intrauterine adhesions.Methods 92 patients with suspected intrauterine adhesions admitted to the hospital were selected as the study objects.All patients received two-dimensional Doppler ultrasonography and three-dimensional energy Doppler ultrasonography.The diagnostic efficiency of two-dimensional and three-dimensional ultrasonography was compared based on the results of hysteroscopy.Results Hysteroscopy showed that 80 of the 92 patients had confirmed uterine adhesions,12 had normal uterine adhesions,and the detection rate was 86.96%.Among them,36 patients had mild adhesions,25 patients had moderate adhesions,and 19 patients had severe adhesions.75 cases of uterine adhesions were detected by two-dimensional ultrasonography,17 cases were normal,the detection rate was 81.52%.79 cases of uterine adhesions were detected by three-dimensional energy ultrasonography,13 cases were normal,the detection rate was 85.87%.The accuracy,specificity and sensitivity of three-dimensional energy ultrasonography were significantly higher than that of two-dimensional ultrasonography(P<0.05).Conclusion Three-dimensional energy Doppler ultrasonography is of significant value in the diagnosis of uterine adhesions,which not only has high diagnostic accuracy,but also can distinguish the degree of uterine adhesions,which is convenient for further symptomatic clinical treatment.

关 键 词：三维能量 多普勒超声 宫腔粘连 诊断价值 

分 类 号：R44[医药卫生—诊断学]