经阴道三维超声自由解剖成像诊断宫腔粘连的临床应用价值
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苏州市临床医学中心资助项目(Szzx201505)


The value of transvaginal three dimensional ultrasonography Omniview imaging in diagnosing intrauterine adhesion
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    摘要:

    【摘要】 目的 探讨经阴道三维超声自由解剖成像(Omniview)诊断宫腔粘连的临床应用价值。方法 选取2017年4月~10月南京医科大学附属苏州医院生殖中心收治的临床疑诊为宫腔粘连的146例患者行Omniview检查并与宫腔镜检查结果进行比较,总结Omniview的特点。结果 以宫腔镜检查结果为金标准,146例患者Omniview正确诊断宫腔粘连110例(85.9%,110/128),漏诊18例(14.1%,18/128),无宫腔粘连患者中误诊3例(2.7%,3/113)。Omniview诊断宫腔粘连的敏感度为85.9%、特异度为83.3%、总符合率为85.6%。Omniview与宫腔镜检查比较对不同程度宫腔粘连总符合率为95.4%(105/110)。结论 Omniview是宫腔粘连诊断及分型的有效方法,但对于薄型子宫内膜患者及周围型宫腔粘连较宫腔镜检查仍存在一定的局限性,需要进一步研究Omniview的特点。

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    【Abstract】Objective The research was aimed to explore the clinical value of transvaginal threedimensional ultrasonography Omniview imaging in diagnosing intrauterine adhesion(IUA). Method 146 patients with suspected clinical diagnosis of IUA were examined by Omniview imaging, and then were compared with the results of hysteroscopy, which was expected to summarize the characteristics of Omniview imaging. Results Omniview imaging, among 146 patients,110 patients were diagnosed with IUA, and 18 patients were missed diagnosis (14.1%,18/128), and 3 patients were misdiagnosed without IUA (2.7%,3/113). The total accordance rate of Omniview imaging for different classifications of IUA, compared with hysteroscopy, was 95.4% (105/110). Conclusion Omniview imaging is an effective method for diagnosis and classification of IUA, however. There are still some limitations for thin endometrium patients and peripheral intrauterine adhesions compared with hysteroscopy. It is necessary to further study the imaging characteristics of Omniview imaging.

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  • 在线发布日期: 2019-11-13
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