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[1]李宏波,吴文忠,张玫玫,等.经阴道二维及三维超声联合应用对宫腔粘连的诊断价值[J].医学研究与战创伤救治(原医学研究生学报),2018,20(01):41-44.[doi:10.3969/j.issn.1672-271X.2018.01.009]
　LI Hong-bo,WU Wen-zhong,ZHANG Mei-mei,et al.Combined diagnostic value of three-dimensional ultrasound and two dimensional ultrasound in intrauterine adhesions[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2018,20(01):41-44.[doi:10.3969/j.issn.1672-271X.2018.01.009]
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经阴道二维及三维超声联合应用对宫腔粘连的诊断价值()
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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:
41-44
栏目:
出版日期:
2018-01-22

文章信息/Info

Title:
Combined diagnostic value of three-dimensional ultrasound and two dimensional ultrasound in intrauterine adhesions
作者:
李宏波; 吴文忠; 张玫玫; 毛书霞; 高慧; 张皓
作者单位：210029南京，南京中医药大学附属医院超声医学科（李宏波、吴文忠、张玫玫、毛书霞、高慧、张皓）
Author(s):
LI Hong-bo; WU Wen-zhong; ZHANG Mei-mei; MAO Shu-xia; GAO Hui; ZHANG Hao
(Department of Ultrasound, The Affiliated Hospital of Nanjing University of Chinese Medicine，Nanjing 210029，Jiangsu,China)
关键词:
三维超声; 宫腔粘连; 诊断
Keywords:
three-dimensional ultrasound;  intrauterine adhesions;  diagnosis
分类号:
R445.1；R771.6
DOI:
10.3969/j.issn.1672-271X.2018.01.009
文献标志码:
A
摘要:
目的 探讨经阴道三维超声联合二维超声检查对宫腔粘连诊断的价值。方法 回顾性分析94例宫腔粘连患者以及正常无宫腔粘连对照组20例，分析对照组以及不同分型宫腔粘连患者经阴二维和经阴三维超声表现，以宫腔镜和病理检查结果 为金标准,比较单独经阴道二维超声和二维及三维超声联合应用对不同程度宫腔粘连的检出率。结果 94例患者中，经阴道三维超声数据后处理所形成的多角度可自由旋转的三维图像对患者宫腔粘连位置可做出明确诊断，经阴道二维B超则对宫腔粘连的分型有一定的局限性，难以准确判断轻度宫腔粘连。联合应用二维三维超声可显著提高诊断率，达到94.7%，与经阴道二维超声单一检查（70.2%）比较，差异有统计学意义(P＜0.05) 。结论 经阴道三维超声检查具有简单，快捷，无创等优点，通过多角度可自由旋转的三维超声图像（常规为子宫冠状面）直观地显示,弥补了经阴道二维超声的缺陷，为临床医师提供更丰富的信息,具有良好的临床应用价值。
Abstract:
Objective To investigate the combined diagnostic value of three-dimensional ultrasound (3D US) and two dimensional ultrasound (2D US) in intrauterine adhesions.Methods 2D US and 3D US Results in 94 uterine intrauterine adhesions cases and normal control group of 20 cases without intrauterine adhesion were retrospectively analyzed. The ability of 3D US to distinguish between different types of uterine intrauterine adhesions was compared with 2D US. Hysteroscopy and pathological examination was taken as the standard.Results In the 94 patients, the three-dimensional, free rotation three-dimensional images formed by post-processing of transvaginal three-dimensional ultrasound data can make a definite diagnosis of intrauterine adhesions, while the 2D US had certain limitations on the classification of intrauterine adhesions, especially for the differentiation of mild intrauterine adhesions. Combined application of 2D US and 3D US could significantly improve the diagnostic rate, reaching 94.7% compared with single 2D US (70.2%), and the difference was statistically significant (P<0.05).Conclusion 3D US has the advantages of simple, rapid and noninvasive and it can be directly visualized by the coronal plane of the uterus, which can make up for the deficiency of ordinary 2D US, provide more information for clinicians, and has better clinical application value.

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