| 摘要: |
| 目的 通过三维能量多普勒超声（3D PDUS）观察宫腔镜治疗重度宫腔粘连（IUAs）患者子宫内膜血流的变化来评估其治疗效果。
方法 收集40例宫腔镜确诊的严重宫腔粘连患者。对所有患者均进行术前、术后二维常规经阴道超声和3D PDUS检查，并进行对比分析。采用4D VOCAL 软件获得子宫内膜三维血管参数，包括血管指数（VI）、血流指数（FI）、血管化血流指数（VFI），以及内膜体积，对比观察术前、术后改变。
结果 40例重度IUAs，宫腔粘连松解术后子宫内膜体积、VI、FI、VFI均增高，差异均有统计学意义（P＜0.05）。术后6个月随访，15名患者月经周期逐渐规律，14名患者内膜血流有改善。 |
| 关键词: 宫腔粘连，三维能量多普勒，宫腔镜，子宫内膜 |
| DOI： |
| 投稿时间：2017-08-30修订日期：2017-10-09 |
| 基金项目: |
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| The significance of three-dimensional energy Doppler ultrasound measurement of endometrial blood flow in endoscopic treatment of severe intrauterine adhesions |
| pengyanqing |
| () |
| Abstract: |
| Abstract：Objective To evaluate the therapeutic effect of hysteroscopy
on the changes of endometrial blood flow in patients with severe intrauterine adhesions (IUAs) by using three-dimensional power Doppler ultrasound (3D PDUS).
Methods:40 patients with severe intrauterine adhesions diagnosed by hysteroscopy were collected. Before and after the operation, all the patients were examined by two-dimensional ultrasound and 3D PDUS. To obtain three-dimensional endometrial vascular parameters by using 4D VOCAL software, including the vascular index (VI), flow index (FI) and vascularization flow index (VFI), and endometrial volume were compared before and after surgery to change
Results:The 40 patients with severe IUAS, the endometrial volume, VI, FI, VFI were significantly higher after the removal of IUA, and the difference was statistically significant (P = 0.05). After 6 months of follow-up, the menstrual cycle of the patients in the 15 patients was gradually increased, and the blood flow was improved in the 14 patients. |
| Key words: Intrauterine adhesions, Three-dimensional energy Doppler, Hysteroscopy, Endometrium |
