摘要
目的:探究阴道三维与二维超声检查对剖宫产术后子宫切口瘢痕处憩室的诊断价值。方法:选取2014年4月-2016年12月在本院门诊诊治的剖宫产术后子宫切口瘢痕处憩室患者43例作为观察对象,对其均采用阴道三维超声与阴道二维超声作相应疾病诊断,并于超声检查结束1个月后对患者均实施宫腔镜检查,观察并分析两种检查方式的诊断结果。结果:阴道三维超声在子宫切口瘢痕处憩室轻型、中型、重型的阳性率分别为90.48%、93.75%、100%;阴道二维超声的轻型、中型、重型诊断阳性率分别为57.14%、62.50%、83.33%,可见三维超声其轻型、中型的子宫切口瘢痕处憩室诊断阳性率均明显高于二维超声,差异均有统计学意义(P<0.05)。与宫腔镜结果对比,阴道三维超声的诊断准确率为88.37%,高于二维超声的62.79%,差异有统计学意义(P<0.05)。结论:在针对子宫切口瘢痕处憩室使用阴道三维超声时,可获得优于阴道二维超声的诊断效果,且检查图像质量佳、检查费用低、诊断准确率高,说明其检查方式在临床上具有较高的推广应用价值。
Objective：To explore the transvaginal three-dimensional and two-dimensional ultrasound examination in the diagnosis of uterine incision scar diverticulum after cesarean section.Method：43 patients in our hospital from April 2014 to December 2016 during outpatient treatment after cesarean section uterine incision scar diverticulum were selected as observation objects,all patients were diagnosed with the disease by transvaginal three-dimensional ultrasound and two-dimensional ultrasound,hysteroscopy was performed in 1 month after the end of ultrasonography,the diagnostic results of the two methods were observed and analyzed.Result：The transvaginal three-dimensional ultrasonography of uterine incision scar diverticulum in light,medium and heavy positive rates were 90.48%,93.75%,100%,transvaginal two-dimensional ultrasound diagnosis of light,medium and heavy positive rate were 57.14%,62.50%,83.33%,transvaginal three-dimensional ultrasound the visible light and medium uterine incision scar diverticulum the positive rate of diagnosis were higher than transvaginal two-dimensional ultrasound,the differences were statistically significant（P〈0.05）.Compared with the results of hysteroscopy,transvaginal three-dimensional ultrasound diagnostic accuracy rate was 88.37%,which higher than 62.79% in transvaginal two-dimensional ultrasound,the difference was statistically significant（P〈0.05）.Conclusion：In the uterine incision scar diverticulum using transvaginal three-dimensional ultrasonography,the diagnostic effect of ultrasound is superior to that of two-dimensional ultrasound,moreover,the image quality is good,the inspection cost is low,and the diagnostic accuracy is high,which shows that the examination method has a high popularization and application value in clinic.
出处
《中国医学创新》
CAS
2017年第9期77-80,共4页
Medical Innovation of China
关键词
阴道三维超声
阴道二维超声
剖宫产
子宫憩室
诊断
Transvaginal three-dimensional ultrasound
Transvaginal two-dimensional ultrasound
Cesarean section
Uterine diverticula
Diagnosis
作者简介
通信作者：雷娟英
