经阴道二维超声与三维超声在宫腔疾病诊断中的应用价值.docVIP

经阴道二维超声与三维超声在宫腔疾病诊断中的应用价值 　　[摘要] 目的 探讨经阴道二维超声（2D-TVS）与经阴道三维超声（3D-TVS）在宫腔疾病诊断中的应用价值。 方法 选择2015年1～12月我院收治的宫腔内病变患者95例作为研究对象，所有患者均行2D-TVS和3D-TVS，超声检查结束后10 d内对患者进行宫腔镜检查或者进行手术治疗送病理，比较两种检查方式与病理结果的一致性。结果 2D-TVS对子宫内膜息肉诊断Kappa值0.75，一致性好，对子宫纵隔、宫腔粘连、单角子宫诊断Kappa值0.40～0.75，一致性较好；3D-TVS对子宫纵隔、宫腔粘连、单角子宫、子宫内膜息肉诊断结果与病理诊断Kappa值0.75，一致性好。2D-TVS对子宫腔内病变检出率为66.32%，3D-TVS为86.32%，两组比较差异有统计学意义（P0.05）。 结论 与2D-TVS相比，3D-TVS在检查宫腔内病变中具有更高的准确性，对宫腔内疾病的检出率较高，适合应用于宫腔内疾病的诊断和鉴别。 　　[关键词] 经阴道二维超声；经阴道三维超声；子宫疾病 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2016）04（c）-0076-03 　　Application value of transvaginal two-dimensional and three-dimensional ultrasonography in the diagnosis of uterine cavity disease 　　WANG Xian-jin 　　Department of Ultrasound，Jiangxi Maternal and Child Health Hospital，Jiangxi Province，Nanchang 330006，China 　　[Abstract] Objective To explore the application value of transvaginal two-dimensional （2D-TVS） and three-dimensional ultrasonography （3D-TVS） in the diagnosis of uterine cavity disease. Methods From January to December 2015，95 patients with uterine cavity diseases admitted into our hospital were selected as research objects.All patients were examined by 2D-TVS and 3D-TVS.After ultrasonic examinations，patients were proceeded with hysteroscopy or surgery for pathology within 10 days.The consistency of two examined approaches and pathological outcomes was compared. Results The value of Kappa was more than 0.75 in the diagnosis of endometrial polyp by 2D-TVS in a good consistency.The value of Kappa was between 0.40 and 0.75 in the diagnosis of uterus mediastinum，intrauterine adhesion，and unicornuate uterus in good consistency.The Kappa value was more than 0.75 between the diagnostic outcomes of uterus mediastinum，intrauterine adhesion，unicornuate uterus，and endometrial polyp by 3D-TVS and pathological examinations，which were in good consistency.The detection rate of uterine cavity diseases by 2D-TVS and 3D-TVS was 66.32% and 86.32% with a statistical difference （P0.05）. Conclu