产前超声对宫腔粘连带的诊断及鉴别诊断意义.pdfVIP

中外医疗 2015 NO.10 China Foreign Medical Treatment 影像与检验 产前超声对宫腔粘连带的诊断及鉴别诊断意义 陈　刚 湖南省邵阳市中心医院 , 湖南邵阳　422000 [ 摘要 ] 目的 针对产前超声对宫腔粘连带的诊断以及鉴别诊断意义进行分析。方法 随机选择 2011 年 6 月—2013 年 6 月期间该院收治的宫腔粘连带 120 例患者 , 作为该研究的对象 , 平均分为对照组和观察组 , 对照组实施产前宫腔镜 检查 , 观察组实施产前超声检查 , 对两组患者的诊断结果进行比较分析。结果 观察组患者超声诊断结果的符合率为 96.67%, 对照组诊断符合率为 86.67%。差异有统计学意义 ( 0.05)。超声诊断准确度为 96.67%, 灵敏度为 96.0%。特异性 为 92.50%,K=0.8720.75。宫腔镜诊断准度度 86.67%, 灵敏度为 85.00%, 特异性为 90.00%,K=0.7680.75。宫腔镜检查的 灵敏度和特异度与超声检查存在一定的差异 , 但 0.05, 差异无统计学意义。结论 产前对宫腔粘连带进行诊断和鉴别 判断 , 可以提供准确、全面的诊断信息 , 属于无创性超声检查 , 在临床诊断中的应用 , 具有较高的临床价值和诊断意义。 [ 关键词 ] 超声检查 ; 宫腔粘连带 ; 诊断 [ 中图分类号 ]R445.1 [ 文献标识码 ]A [ 文章编号 ]1674-0742(2015)04(a)-0164-02 Prenatal Diagnosis Ultrasonography in Differential Diagnosis of Uterine Cavity Adhesion with Meaning CHEN Gang Central Hospital of Shao Yang City of Hu Nan Province ,Shaoyang,Hunan Province,422000 China [Abstract]Objective To analysis prenatal diagnosis ultrasonography in differential diagnosis of uterine cavity adhesion with meaning. Methods Randomly selected during June 2011to June 2013, in our hospital with120 cases were caused by intrauterine adhesions, as the research object,the average was divided into control group and observation group,control group implementation of prenatal hysteroscopy examination, observation group implementation of prenatal ultrasound,compared and analyzed the diagnostic results of two groups of patients.Results Observation group of patients with ultrasound diagnosis coincidence rate was 96.67%, control group diagnosis coincidence rate was 86.67%. 0.05,there was statistical significance. Ultrasound diagnostic accuracy was 96.6