摘要
目的分析经阴道二维超声联合能量多普勒超声在宫腔粘连诊断中的应用价值。方法观察性研究。抽取2019年3月至2023年4月联勤保障部队第九八九医院平顶山医疗区收治的82例疑似宫腔粘连患者为研究对象。均行经阴道二维超声、能量多普勒超声检查,以宫腔镜检查结果为"金标准",比较经阴道二维超声、能量多普勒超声单独和联合诊断宫腔粘连的诊断结果、诊断效能(灵敏度、漏诊率、准确度),比较宫腔粘连者和宫腔正常者内膜厚度、血流指数、血管指数、内膜容积。结果82例患者经宫腔镜检查确诊宫腔粘连70例,无宫腔粘连12例;采用经阴道二维超声诊断出宫腔粘连59例,无宫腔粘连23例;采用能量多普勒超声诊断显示宫腔粘连59例,无宫腔粘连23例;二者联合可见宫腔粘连70例,无宫腔粘连12例。观察组经阴道二维超声联合能量多普勒超声诊断宫腔粘连灵敏度(95.71%,67/70)、准确度(92.68%,76/82)高于经阴道二维超声(80.00%,56/70;79.27%,65/82)和能量多普勒超声(81.43%,57/70;81.71%,67/82),漏诊率(4.29%,3/70)低于经阴道二维超声(20.00%,14/70)和能量多普勒超声(18.57%,13/70),P<0.05。宫腔粘连者内膜厚度小于宫腔正常者(P<0.05),宫腔粘连者血流指数、血管指数、内膜容积低于宫腔正常者(P<0.05)。结论经阴道二维超声联合能量多普勒超声在宫腔粘连诊断中,可获取更多的超声参数,能为临床诊断提供更多信息支持,利于提高诊断效能。
Objective To analyze the application value of transvaginal two-dimensional ultrasound combined with power Doppler ultrasound in the diagnosis of intrauterine adhesions.Methods The observational study was conducted on 82 patients with suspected intrauterine adhesions treated in No.989 Hospital of the Joint Logistics Support Force from March 2019 to April 2023 which were selected as the research objects.All patients underwent transvaginal two-dimensional ultrasound and power Doppler ultrasound.With the results of hysteroscopy as the gold standard,the diagnostic results and diagnostic efficacy(sensitivity,missed diagnosis rate,accuracy)of transvaginal two-dimensional ultrasound alone,power Doppler ultrasound alone,and combination of them in the diagnosis of intrauterine adhesion were compared.The endometrial thickness,blood flow index,vascular index and endometrial volume were compared between patients with intrauterine adhesions and normal uterine cavity.Results Among the 82 patients,hysteroscopy confirmed 70 cases with intrauterine adhesions and 12 cases without intrauterine adhesions;transvaginal 2-dimentional ultrasound identified 59 cases with intrauterine adhesions and 23 cases without intrauterine adhesions;power Doppler ultrasound identified 59 cases with intrauterine adhesions and 23 cases without intrauterine adhesions.Transvaginal two-dimensional ultrasound combined with power Doppler ultrasound confirmed 70 cases with intrauterine adhesions and 12 cases without intrauterine adhesions.In the observation group,the sensitivity and accuracy of transvaginal two-dimensional ultrasound combined with power Doppler ultrasound in diagnosing uterine adhesions(95.71%,67/70;92.68%,76/82)were higher than those of transvaginal two-dimensional ultrasound(80.00%,56/70;79.27%,65/82)and power Doppler ultrasound(81.43%,57/70;81.71%,67/82);while the missed diagnosis rate of the combination of them(4.29%,3/70)was lower than that of transvaginal two-dimensional ultrasound alone(20.00%,14/70)and power Doppler ultrasound alone(18.57%,13/70),P<0.05.The endometrium thickness in patients with intrauterine adhesions was thinner than that in patients with normal uterine cavity(P<0.05).The blood flow index,vascular index and endometrial volume of patients with intrauterine adhesion were lower than those of patients with normal uterine cavity(P<0.05).Conclusions Transvaginal two-dimensional ultrasound combined with power Doppler ultrasound in the diagnosis of intrauterine adhesions can obtain more ultrasound parameters,and can provide more information for clinical diagnosis,which is conducive to improving the diagnostic efficiency.
作者
李林林
李晓果
常旭光
Li Linlin;Li Xiaoguo;Chang Xuguang(Department of Special Examination,No.989 Hospital of the Joint Logistics Support Force,Pingdingshan 467000,China)
出处
《中国实用医刊》
2024年第1期74-77,共4页
Chinese Journal of Practical Medicine
关键词
子宫
宫腔粘连
经阴道二维超声
能量多普勒超声
Uterus
Intrauterine adhesion
Transvaginal two-dimensional ultrasound
Power Doppler ultrasound
