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目的分析经阴道三维超声容积成像在诊断宫腔粘连中的价值。方法选取2015年8月~2016年10月于潍坊医学院附属医院就诊的疑似宫腔粘连病例,分别行经阴道二维及经阴道三维超声容积成像,其中92例声像支持宫腔粘连,分别获得子宫内膜三维定量指标:子宫内膜容积(V)、内膜回声强度(MG)、血管指数(VI)、血流指数(FI)、血管血流综合指数(VFI),随后经宫腔镜检查,确诊其中83例并进行轻、中、重程度分级,回顾性比较分析所获得的三维定量指标。结果轻度、中度、重度病例3组间的子宫内膜容积比较,差异均有统计学意义(P<0.05);轻度和重度组的MG,VI,FI分别比较,差异具有统计学意义(P<0.05),而中度组与其它两组比较,差异均无统计学意义(P>0.05);轻度和中度VFI比较,差异具有统计学意义(P<0.05),中、重度两组VFI比较,差异无统计学意义(P>0.05)。结论经阴道三维超声容积成像可以比较准确地诊断宫腔粘连,子宫内膜三维定量指标对不同程度的宫腔粘连有客观的评价,具有较高的临床应用价值。
Objective To analyze the value of transvaginal three-dimensional ultrasound volume imaging in the diagnosis of intrauterine adhesions. Methods From August 2015 to October 2016, suspected cases of intrauterine adhesions were treated by Weifang Medical College Affiliated Hospital. Transvaginal two-dimensional and transvaginal three-dimensional ultrasound volume imaging were performed respectively. Among them, 92 cases of audiovisual support uterine adhesions were obtained Endometrial three-dimensional quantitative indicators: endometrial volume (V), endometrial echogenicity (MG), vascular index (VI), blood flow index (FI), vascular perfusion index (VFI), followed by hysteroscopy Check and diagnose 83 cases of them, and light, medium and heavy degree grading, retrospective comparative analysis of the three-dimensional quantitative indicators. Results There were significant differences in endometrial volume between mild, moderate and severe cases (P <0.05). There was significant difference in MG, VI and FI between mild and severe group (P <0.05), while there was no significant difference between moderate and other groups (P> 0.05). There was significant difference between mild and moderate VFI (P <0.05), moderate and severe There was no significant difference in VFI between the two groups (P> 0.05). Conclusion Transvaginal three-dimensional ultrasound volumetric imaging can accurately diagnose intrauterine adhesions. The endometrial three-dimensional quantitative indicators of intrauterine adhesions have an objective evaluation of different degrees, with high clinical value.