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目的探讨声诺维与生理盐水宫腔声学造影(sonohysterography,SHG)对宫腔占位性病变的诊断价值。方法不孕症患者1 015例,实时三维子宫输卵管造影检查中先后应用声诺维及生理盐水SHG成像,观察宫腔内有无占位性病变;声诺维及生理盐水SHG检查后2个月内,1 015例中128例行宫腔镜检查。以宫腔镜检查结果为金标准,统计声诺维及生理盐水SHG对宫腔占位病变的诊断价值,并进行比较。结果宫腔镜检查发现宫腔占位病变58例,其中内膜息肉40例,宫腔粘连带8例,宫腔息肉并粘连带7例,黏膜下肌瘤3例;声诺维SHG发现宫腔占位病变37例,其中内膜息肉23例,宫腔粘连带8例,宫腔息肉并粘连带3例,黏膜下肌瘤3例,诊断宫腔占位病变的符合率为66%、灵敏度为44%、特异度为84%;生理盐水SHG发现宫腔占位病变57例,其中内膜息肉38例,宫腔粘连带10例,宫腔息肉并粘连带6例,黏膜下肌瘤3例,诊断宫腔占位病变的符合率为84%、灵敏度为88%、特异度为90%;生理盐水SHG诊断宫腔占位性病变的符合率、灵敏度、特异度均高于声诺维SHG,差异有统计学意义(P<0.05)。结论生理盐水SHG对宫腔占位病变的诊断效能优于声诺维SHG。
Objective To investigate the diagnostic value of SonoViride and saline saline sonography in the treatment of space-occupying lesions in uterine cavity. Methods A total of 1 015 cases of infertility patients were treated with SonoVue and saline SHG imaging in real-time three-dimensional hysterosalpingography. The lesions in the uterine cavity were observed. Inside, 1 015 cases of 128 cases underwent hysteroscopy. The results of hysteroscopy as the gold standard, statistical Sono dimension and saline SHG diagnostic value of space occupying lesions, and compared. Results 58 cases of hysteroscopic lesions were found in hysteroscopy, including 40 cases of endometrial polyps, 8 cases of intrauterine adhesions, 7 cases of uterine polyps and adhesions, and 3 cases of submucous myoma. Cavity occupying lesions in 37 cases, of which 23 cases of endometrial polyps, uterine adhesions in 8 cases, uterine polyps and adhesions in 3 cases, submucosal fibroids in 3 cases, diagnosis of intrauterine lesions in line with the rate of 66% Sensitivity was 44%, specificity was 84%; SHG found lesions in 57 cases of intrauterine lesions, including 38 cases of endometrial polyps, uterine adhesions in 10 cases, uterine polyps and adhesions in 6 cases, submucosal fibroids In 3 cases, the coincidence rate of the diagnosis of intrauterine lesions was 84%, the sensitivity was 88% and the specificity was 90%. The coincidence rate, sensitivity and specificity of SHG in diagnosing uterine cavity lesions were all higher than that of vocal cords Dimension SHG, the difference was statistically significant (P <0.05). Conclusion The physiological saline SHG is superior to Sonogi SHG in diagnosing intrauterine lesions.