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[1]李燕鑫,王露,江丽,等.三维超声对先天性子宫畸形的诊断价值[J].医学研究与战创伤救治(原医学研究生学报),2018,20(01):30-36.[doi:10.3969/j.issn.1672-271X.2018.01.007]
　LI Yan-xin,WANG Lu,JIANG Li,et al.Value of three-dimensional ultrasound in congenital uterine anomalies[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2018,20(01):30-36.[doi:10.3969/j.issn.1672-271X.2018.01.007]
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三维超声对先天性子宫畸形的诊断价值()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第20卷
期数:
2018年01期
页码:
30-36
栏目:
出版日期:
2018-01-22

文章信息/Info

Title:
Value of three-dimensional ultrasound in congenital uterine anomalies
作者:
李燕鑫; 王露; 江丽; 林丽仙; 罗晓莉; 李慧忠
作者单位：350025福州,福建中医药大学福总教学医院（福州总医院）超声科（李燕鑫、王露、江丽、林丽仙、罗晓莉、李慧忠）
Author(s):
LI Yan-xin; WANG Lu; JIANG Li;  LIN Li-xian; LUO Xiao-li; LI Hui-zhong
（Department of Ultrasonography, Fujian University of Traditional Chinese Medicine Fuzhou General Teaching Hospital/Fuzhou General Hospital, Fuzhou 350025, Fujian，China）
关键词:
三维超声; 二维超声; 冠状面; 子宫畸形; 先天性
Keywords:
three-dimensional ultrasound;  two-dimensional ultrasound;  coronal plane;  uterine anomalies;  congenital
分类号:
R445.1
DOI:
10.3969/j.issn.1672-271X.2018.01.007
文献标志码:
A
摘要:
目的 探讨三维超声对先天性子宫畸形的诊断价值。方法 对临床320例可疑先天性子宫畸形经阴道、直肠或经腹行二、三维超声成像，以宫、腹腔镜或手术结果 为金标准，比较各种类型的子宫畸形二、三维超声诊断结果 的差异。结果 经宫、腹腔镜或手术确诊子宫畸形318例，子宫形态正常2例，经二维超声诊断符合率90.3%，经三维超声诊断符合率约96.9%。二、三维超声与金标准的一致性检验Kappa值分别为0.88、 0.96，一致性检验二者与金标准一致性好，且三维具有更好的一致性。单角子宫二、三维阳性预测值均为100.0%，假阴性率分别为22.8%、8.6%；双子宫二、三维阳性预测值分别为87.5%、100.0%，假阴性率均为0；双角子宫二、三维阳性预测值分别为68.0%、89.5%，假阴性率均为0；完全纵隔子宫二、三维阳性预测值分别为94.4%、100.0%，假阴性率均为0；不完全纵隔子宫二、三维阳性预测值均为1000%，假阴性率分别为8.7%、4.8%；弓形子宫二、三维阳性预测值分别为85.0%、91.1%，假阴性率均为0；特殊类型二、三维阳性预测值均为100.0%，假阴性率分别为54.5%、9.1%。结论 三维超声在部分先天性子宫畸形的诊断及分型中优于二维超声，对二维超声是有益的补充。
Abstract:
Objective To investigate the clinical effectiveness of application of three-dimensional ultrasound (3D US) in diagnosis of congenital uterine anomalies.Methods For 320 clinical suspicious of congenital uterine malformation were scanned by transvaginal ultrasound, Transrectal Ultrasound or Transabdominal ultrasound of two-dimensional ultrasound (2D US) and 3D US, and the ultrasonic Results were compared with hysteroscopy, laparoscopy or operation so as to make a comparison of the differences in the various types of uterine malformation between two Methods .Results As a consequence, 318 patients were diagnosed as uterine anomalies and 2 patients were diagnosed as normal uterus by ultrasound combined with hysteroscopy, laparoscopy and operation in the study. The diagnostic accordance rate of 2D-US was 90.3% and of 3D-US was 96.9%. By the consistency check, 2D-US and 3D-US were highly consistent with the gold standard（kappa value was 0.88, 0.96, respectively）, and 3D-US has better consistency. In unicornuate uterus, the positive predictive value of 2D-US and of 3D-US both were 100.0%, and the false negative rate was 22.8% and 8.6%. In uterus duplex, the positive predictive value of 2D-US and of 3D-US was 87.5% and 100.0%, and the false negative rate all was 0. In uterus bicornis, the positive predictive value of 2D-US and of 3D-US was 68.0% and 89.5%, and the false negative rate all was 0. In complete septate uterus, the positive predictive value of 2D-US and of 3D-US was 94.4% and 100.0%, and the false negative rate all was 0. In incomplete septate uterus, the positive predictive value of 2D-US and of 3D-US both were 100.0% and the false negative rate was 8.7% and 4.8%.In uterus arcuatus, the positive predictive value of 2D-US and of 3D-US was 85.0% and 91.1%, and the false negative rate all was 0. In special type uterus, the positive predictive value of 2D-US and of 3D-US both were 100.0%, and the false negative rate was 54.5% and 9.1%.Conclusion 3D-US was more accurate on diagnosis of diversified congenital uterine anomalies, and also it was a further supplement of 2D-US.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2018-01-20