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经阴道三维超声对先天性子宫畸形患者临床诊断价值分析

闫丽 周晓东 郑瑜 朱雅莉 刘春英 周印

中国医学前沿杂志(电子版)2016,Vol.8Issue(6):141-144,4.
中国医学前沿杂志(电子版)2016,Vol.8Issue(6):141-144,4.

经阴道三维超声对先天性子宫畸形患者临床诊断价值分析

The clinical diagnostic value of three-dimensional analysis of transvaginal ultrasound in patients with congenital uterine malformations

闫丽 1周晓东 2郑瑜 1朱雅莉 1刘春英 1周印1

作者信息

  • 1. 西安市中心医院 超声科,西安 710004
  • 2. 第四军医大学西京医院 超声科,西安 710032
  • 折叠

摘要

Abstract

Objective To investigate the clinical diagnostic value of three-dimensional transvaginal ultrasound in patients with congenital uterine malformations. Method From July 2008 to July 2015, took two-dimensional and three-dimensional transvaginal ultrasound examinations on 52 patients with suspected congenital uterine malformation and compared the diagnostic accuracy of the two methods. Result The diagnostic accuracy of three-dimensional transvaginal ultrasound in patients with congenital uterine malformations was 100% (52/52), in which were 18 cases of double uterine horn, 12 cases of mediastinal uterus, 10 cases of arcuate uterus, 7 cases of unicornuate uterus, and 5 cases of rudimentary horn uterine. The diagnostic accuracy of two-dimensional ultrasound for congenital uterine malformations was 86.54% (45/52). Under three-dimensional ultrasound: homogeneous endometrial echo and cervix tube closing at the middle or lower part of uterine to the cervix can be observed in bicornuate uterus; "Y" shape endometrium can be observed in incomplete septate uterus while "V" shape in complete septate uterus; "arc sag" shape endometrium can be observed in the middle of arcuate uterus; tubulous or semilunar shape endometrium can be observed in unicornuate uterus; solid mass near uterus and presence or deficiency of endometrium can be observed in rudimentary horn of uterus with connection or disconnection of endometrium to the developmental uterine cavity. Conclusion The three-dimensional transvaginal ultrasound can clearly visualize the morphology appearance of uterus and uterine fundus and have a higher diagnostic accuracy in the diagnosis of uterine malformations accuracy than two-dimensional ultrasound. It is a simple, accurate and easy diagnostic method.

关键词

经阴道三维超声/先天性子宫畸形/临床诊断

Key words

Three-dimensional transvaginal ultrasound/Congenital uterine malformations/Clinical diagnosis

引用本文复制引用

闫丽,周晓东,郑瑜,朱雅莉,刘春英,周印..经阴道三维超声对先天性子宫畸形患者临床诊断价值分析[J].中国医学前沿杂志(电子版),2016,8(6):141-144,4.

基金项目

西安市科技计划项目 ()

中国医学前沿杂志(电子版)

OACSTPCD

1674-7372

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