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目的:探究经阴道超声诊断宫腔粘连的临床应用价值。方法:入选2015年4月至2016年4月的怀疑为宫腔粘连患者61例,应用经阴道超声进行诊断,并采用宫腔镜手术进行宫腔粘连的病理学检查对超声检查的诊断结果进行验证。结果:经阴道超声诊断轻度、中度和重度宫腔粘连分别为17例(27.9%)、18例(29.5%)和20例(32.8%),无宫腔粘连为6例(9.8%)。宫腔镜检查中轻度、中度和重度宫腔粘连分别为22例(36.1%)、19例(31.1%)和20例(32.8%)。经阴道超声诊断的准确率为90.2%,漏诊率为9.8%,误诊率为1.6%。两种诊断方法在中度和重度宫腔粘诊断中比较,差异没有统计学的意义(P>0.05)。在轻度宫腔粘诊断中两种诊断方法的差异有统计学的意义(P<0.05)。结论:经阴道超声诊断可作为宫腔粘连诊断的筛查方法,临床诊断的准确率高,操作简单方便,无创无痛,可在临床中广泛的应用。
Objective: To investigate the clinical value of transvaginal ultrasound in the diagnosis of intrauterine adhesions. Methods: From April 2015 to April 2016, 61 patients suspected to be intrauterine adhesions were enrolled. The diagnosis of intrauterine adhesions was performed by transvaginal sonography. The diagnostic results of ultrasonography verification. Results: Transvaginal sonography showed that mild, moderate and severe intrauterine adhesions were 17 (27.9%), 18 (29.5%) and 20 (32.8% . Hysteroscopy in mild, moderate and severe intrauterine adhesions were 22 cases (36.1%), 19 cases (31.1%) and 20 cases (32.8%). The diagnostic accuracy of transvaginal sonography was 90.2%, the rate of misdiagnosis was 9.8% and the rate of misdiagnosis was 1.6%. The two diagnostic methods in the diagnosis of moderate and severe uterine adhesions, the difference was not statistically significant (P> 0.05). The difference between the two diagnostic methods in the diagnosis of mild uterine adhesions was statistically significant (P <0.05). Conclusion: Transvaginal ultrasonography can be used as a diagnostic method for intrauterine adhesions. The accuracy of clinical diagnosis is high, and the operation is simple and convenient, non-invasive and painless. It can be widely used in clinical practice.