| 摘要: |
| 目的：探讨经阴道三维超声（3D-TVS）诊断轻度宫腔粘连的价值。
方法：回顾性分析南京中医药大学附属医院2015.4月~2015.12月收治的45例患者，分别进行腔内二维超声（2D-TVS）及3D-TVS检查，以宫腔镜检查结果作为“金标准”进行对比分析。所有阳性患者均经宫腔镜确诊为轻度宫腔粘连。
结果：45例患者最后经宫腔镜（HS）证实轻度宫腔粘连42例，2D-TVS诊断轻度宫腔粘连的敏感度、特异度、阳性预测值、诊断符合率分别为57.14%、33.33%、92.31%、55.56%；3D-TVS诊断轻度宫腔粘连的敏感度、特异度、阳性预测值、诊断符合率分别为92.86%、66.67%、97.50%、91.11%。
结论: 3D-TVS在诊断轻度宫腔粘连方面较2D-TVS有明显优势，可为临床早期治疗宫腔粘连提供更可靠信息。 |
| 关键词: 轻度宫腔粘连 三维超声 二维超声 宫腔镜 |
| DOI： |
| 投稿时间：2016-07-18修订日期：2016-08-14 |
| 基金项目: |
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| Value of transvaginal three-dimensional ultrasound in diagnosis of mild intrauterine adhesion |
| maoshuxia |
| () |
| Abstract: |
| Objective To explore the value of transvaginal three-dimensional ultrasound (3D-TVS) in diagnosis of mild intrauterine adhesion.
Methods A total of 45 patients treated in our hospital from 2015.4 to 2015.12, respectively, they were examined by two- dimensional ultrasound (2D-TVS) and 3D-TVS.Then with hysteroscopy results as the "gold standard" for comparative analysis. All positive patients were diagnosed as mild intrauterine adhesions by hysteroscopy.
Results 42 cases of all 45 patients finally were confirmed by hysteroscopy (HS) as mild intrauterine adhesions .The 2D-TVS diagnosis of mild intrauterine adhesions in sensitivity, specificity, positive predictive value and diagnostic accordance rate was 57.14%, 33.33%, 92.31%, 55.56% respectively; 3D-TVS diagnosis of mild intrauterine adhesions in sensitivity, specificity, positive predictive value, diagnostic accordance rate was 92.86%, 66.67%, 97.50%, 91.11%.
Conclusion 3D-TVS has obvious advantages in the diagnosis of mild intrauterine adhesion than 2D-TVS, which can provide reliable information for clinical treatment of mild intrauterine adhesion. |
| Key words: Mild intrauterine adhesion Three-dimensional ultrasound Two-dimensional ultrasound Hysteroscopy |
