中国医学装备2025，Vol.22Issue(10)：46-50,5.DOI:10.3969/j.issn.1672-8270.2025.10.009
三维超声联合二维经阴道超声检查在子宫动静脉瘘中的诊断价值研究
Study on the diagnostic value of 3D ultrasound combined with 2D 2D-TVS on uterine arteriovenous fistula
摘要
Abstract
Objective:To explore the application value of three-dimensional ultrasound(3D-US)combined with two-dimensional trans vaginal sonography(2D-TVS)in diagnosing uterine arteriovenous fistula(UAVF).Methods:A total of 36 patients with suspected UAVF who admitted to Baoding Maternal and Child Health Care Hospital from January 2024 to December 2024 were retrospective selected.All of them underwent 3D-US,2D-TVS and combined examinations of 3D-US and 2D-TVS.The gynecological intravenous contrast-enhanced ultrasound was used as the"gold standard"to compare and analyze the sensitivity,specificity,accuracy rate,positive predictive value and negative predictive value of 3D-US,2D-TVS and the combined examination of them.The diagnostic efficacies of the three diagnostic methods were calculated by the four-grid table method and the analysis of the receiver operating characteristic(ROC)curve.The detection rates of 2D-TVS and combined examination of 2D-TVS and 3D-US for UAVF imaging signs were compared.Results:In 36 patients,gold standard confirmed 26 positive cases and 10 negative cases.The sensitivity,specificity,accuracy rate,positive predictive value and negative predictive value of 2D-TVS examination were respectively 69.23%,80.00%,72.22%,90.00%and 50.00%.These indicators of 3D-US examinations were respectively 84.62%,90.00%,86.11%,95.65%and 69.23%.These indicators of the combined examination were respectively 92.31%,90.00%,91.67%,96.00%and 81.82%.There were not statistically significant differences in these indicators among the three diagnostic methods(P>0.05).However,the sensitivity,accuracy rate of the combined examination were respectively higher than those of 2D-TVS examination,and the differences were statistically significant(x2=4.457,4.600,P<0.05).The detection rates of the sings included lake-like,multicolored Mosaic and blood flow spectrum of high-speed low-resistance in UAVF images of the combined examination were all higher than those of 2D-TVS examination,and the differences were statistically significant(x2=4.000,4.431,4.600,P<0.05).Conclusion:The combination of 3D-US and 2D-TVS can significantly improve the diagnostic sensitivity,accuracy and detection rate of imaging signs in the diagnosis for UAVF,which has important clinical application value.关键词
子宫动静脉瘘(UAVF)/三维超声(3D-US)/二维经阴道超声检查(2D-TVS)/影像学征象Key words
Uterine arteriovenous fistula(UAVF)/Three-dimensional ultrasound(3D-US)/Two-dimensional trans vaginal sonography(2D-TVS)/Imaging characteristics分类
医药卫生引用本文复制引用
李博,孙小平,王宪英,曹中艳,王凤娟..三维超声联合二维经阴道超声检查在子宫动静脉瘘中的诊断价值研究[J].中国医学装备,2025,22(10):46-50,5.基金项目
2023年度保定市科技计划(2341ZF302)Baoding City Science and Technology Plan for2023(2341ZF302) （2341ZF302）
