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目的初步探讨经阴道超声在轻、中度宫腔粘连诊断中的价值。方法对临床拟诊为宫腔粘连的118例患者先后进行阴道超声和宫腔镜检查,以宫腔镜检查结果为金标准,对经阴道超声检查提示性诊断为轻、中度宫腔粘连的结果进行评价。结果①118例患者中,宫腔镜检查确诊宫腔粘连103例,正常宫腔5例,宫腔其他疾病10例。②103例宫腔粘连患者中,超声提示性诊断为宫腔粘连91例,灵敏度为88.35%。③44例轻度宫腔粘连中,超声提示性诊断38例,灵敏度为86.36%;38例中度宫腔粘连中,超声提示性诊断32例,灵敏度为84.21%。宫腔镜和超声提示性诊断轻、中度宫腔粘连的一致率为85.37%。结论经阴道超声检查可作为轻、中度宫腔粘连的辅助检查,有较高的临床应用价值。
Objective To investigate the value of transvaginal ultrasound in the diagnosis of mild to moderate intrauterine adhesions. Methods One hundred and eighty-eight patients with clinically diagnosed uterine adhesions were examined by vaginal sonography and hysteroscopy. The results of hysteroscopy were the gold standard. Transvaginal ultrasonography was used to diagnose mild and moderate intrauterine adhesions The results were evaluated. Results ① Among the 118 patients, hysteroscopy confirmed 103 cases of intrauterine adhesions, 5 cases of normal uterine cavity and 10 cases of other uterine diseases. ② 103 cases of intrauterine adhesions in patients with ultrasonic diagnosis prompted intrauterine adhesions in 91 cases, the sensitivity was 88.35%. In 44 cases of mild intrauterine adhesions, 38 cases were diagnosed by ultrasonic diagnosis, the sensitivity was 86.36%. Among 38 cases with moderate intrauterine adhesions, 32 cases were diagnosed by ultrasound, with a sensitivity of 84.21%. Hysteroscopy and ultrasound prompt diagnosis of mild to moderate uterine adhesions was 85.37%. Conclusion Transvaginal ultrasonography can be used as auxiliary examination of mild to moderate intrauterine adhesions, which has high clinical value.