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目的:探讨经阴道三维超声诊断宫腔粘连的临床价值。方法:选取在我院接受治疗的100例经检查被证实为宫腔粘连的患者为研究对象,分析超声检查的结果与宫腔镜检查的结果,及患者的满意度。结果:经阴道二维超声诊断宫腔粘连25例,经阴道三维超声诊断47例,经阴道三维超声诊断的符合率明显高于经阴道二维超声的诊断,且经阴道二维超声明确诊断的25例,经阴道三维超声均明确诊断,此外,观察组的满意度(100%)也明显高于对照组(70%),具有统计学意义(P<0.05)。结论:经阴道三维超声不仅能准确的提供更全面直观的诊断信息,而且极具无创安全性,可同时显示冠状切面,对诊断宫腔粘连明显优于传统经阴道二维超声,在临床上有很高的应用价值,非常值得在临床得到推广与应用。
Objective: To investigate the clinical value of transvaginal three-dimensional ultrasonography in diagnosis of intrauterine adhesions. Methods: A total of 100 patients treated in our hospital who were proved to be intrauterine adhesions were selected as the study objects. The results of ultrasound examination and hysteroscopy were analyzed, and the patients’ satisfaction was analyzed. Results: Transvaginal two-dimensional ultrasound diagnosis of intrauterine adhesions in 25 cases, transvaginal three-dimensional ultrasound in 47 cases, transvaginal three-dimensional ultrasound was significantly higher than the coincidence of transvaginal two-dimensional ultrasound diagnosis, and transvaginal two-dimensional ultrasound was diagnosed 25 cases were diagnosed by transvaginal three-dimensional ultrasonography. In addition, the satisfaction of the observation group (100%) was also significantly higher than that of the control group (70%), with statistical significance (P <0.05). Conclusion: Transvaginal three-dimensional ultrasound can not only provide a more comprehensive and intuitive diagnostic information, but also noninvasive safety, which can simultaneously show the coronal section, the diagnosis of intrauterine adhesions was significantly better than traditional transvaginal two-dimensional ultrasound, in clinical High application value, it is worth to promote and apply in clinic.