经阴道三维超声诊断子宫畸形的临床价值.pdfVIP

· 594 · 临 超直医堂杂志 201生 筮 !鱼鲞筮 期 I !迪§Q坠趟 丛 ，曼卫!堕生 Q ，Q!：!，Q： ·l1告床 研 究 · 经阴道三维超声诊断子宫畸形的临床价值 赵晓英 骆 峰 韦 学 刘满荣 雷 群 摘 要 目的 探讨应用经阴道三维超声成像诊断子宫畸形的临床价值。方法 收集我院经宫腔镜或，和腹腔镜 确诊的子宫畸形患者56例，回顾性分析其术前经阴道二维超声及三维超声特点，比较经阴道二维超声和三维超声对子宫 畸形的诊断价值。结果 术前经阴道二维超声诊断子宫畸形43例，诊断准确率76．8％(43／56)；经阴道三维超声成像诊断 子宫畸形51例，诊断准确率91．1％(51／56)，二者比较差异有统计学意义(O．040)。结论 经阴道三维超声的容积后处理 模式可多角度观察子宫轮廓及内部结构，特别是子宫底部及内膜情况，可在术前辅助诊断子宫畸形，为临床手术提供更多 参考信息。 关键词 超声检查，三维，经阴道；子宫畸形；诊断价值 [中图法分类号]R711．1；R445．1 [文献标识码 ]A Applicationvalueoftransvaginalthree-dimensionalultras0n0graphyin diagnosisofuterineabnormalities ZHAOXiaoying，LUOFeng，WEIXue，LIUManrong，LEIQun DepartmentofUl~asound，theThirdAffiliatedHospitalofGuangxiMedicalUniversity，Nanning530031，China ABSTRACT Objective Toexploretheclinicalvalueoftransvaginalhtree-dimensionalultrasonographyinthediagnosis ofcongenital uterinemalformation．Methods Fifry-sixpatientswithuterinemalfomr ationconfirmedbyhysteroscopyodand laparoscopywereselected．Thesonographiefeaturesoftransvaginaltwo-dimensional (2D)andthree-dimensional(3D) ultrasonographybeforeoperationwereanalyzedretrospectively．Th ediagnosticvalueoftransvaginal2Dand3D uhrasonography was compared．Results Among 56 patientswith uterine malfomr ation，43 cases were detected by transvaginal 2D ultrasonography．withdiagnosticaccuracyrateof76．8％ (43／56)．Fifty-threecasesweredetectedbytransvaginal 3D ultrasonography，withdiangosticaccuracyrateof91．1％(51／56)．Therewassignificantdifferencebetweenthetwo (P=0．o40)． Conclusion Th eoutlineandinternalstructureoftheuteruscanbeobservedbytransvaginal3Dultrasonography，speciallyforthe bottom ofhteuterusandtheendometrium．Transvaginal3Dultrasonographyhasauxiliarydiagnosticvalueforuterinemalf