论文部分内容阅读
目的:探讨经阴道三维超声在不孕症患者宫腔内病变诊断中的价值,为宫腔内病变的诊断提供理论依据。方法:选取2013年5月~2014年10月该院收治的不孕症患者189例,对其临床资料进行回顾性分析。所有患者均经阴道二维超声检查和阴道三维超声重建成像,并进行宫腔镜检查,以病理检查结果作为诊断金标准进行分析。结果:189例患者中,病理诊断子宫内膜增生98例,子宫内膜息肉45例,宫腔粘连18例,黏膜下子宫肌瘤15例,胚胎残留13例。经阴道二维超声和经阴道三维超声与宫腔镜检查的符合率分别为53.41%和90.34%,与病理检查的符合率分别为49.74%和84.13%。阴道三维超声诊断宫腔内病变结果的准确率显著高于阴道二维超声,差异有统计学意义(P<0.05)。结论:阴道三维超声对不孕患者宫腔内病变的诊断率明显高于二维超声,是诊断宫腔内病变较为可靠的方法。
Objective: To investigate the value of transvaginal three-dimensional ultrasound in the diagnosis of intrauterine lesions in infertility patients and to provide a theoretical basis for the diagnosis of intrauterine lesions. Methods: A total of 189 infertility patients admitted to our hospital from May 2013 to October 2014 were retrospectively analyzed. All patients were transvaginal two-dimensional ultrasound and vaginal three-dimensional ultrasound reconstruction imaging, and hysteroscopy, the pathological examination results as a diagnostic gold standard for analysis. Results: Of the 189 patients, pathological diagnosis of endometrial hyperplasia in 98 cases, endometrial polyps in 45 cases, intrauterine adhesions in 18 cases, submucosal uterine fibroids in 15 cases, embryonic residue in 13 cases. The coincidence rates of transvaginal two-dimensional ultrasound and transvaginal three-dimensional ultrasound with hysteroscopy were 53.41% and 90.34%, respectively. The coincidence rates with pathology were 49.74% and 84.13% respectively. The diagnostic accuracy of three-dimensional vaginal ultrasound in diagnosis of intrauterine lesions was significantly higher than that of vaginal two-dimensional ultrasound (P <0.05). Conclusions: The diagnostic rate of intrauterine lesions in infertile patients by vaginal three-dimensional ultrasound is significantly higher than that of two-dimensional ultrasound. It is a reliable method to diagnose intrauterine lesions.