摘要
目的探究经阴道二维子宫输卵管超声在先天性子宫畸形鉴别和分型诊断中的临床价值。方法回顾因月经不调或习惯性流产而就诊的疑似子宫先天畸形患者临床资料,均实施经阴道二维子宫输卵管超声及宫腔镜、腹腔镜联合检查,比较超声检查和宫、腹腔镜联合检查的符合率。结果入组疑似子宫先天畸形患者101例,其中经宫、腹腔镜联合检查确诊者92例(91.09%),术前经阴道二维子宫输卵管超声检查发现65例(64.35%),联合检查和超声检查的检出率差异有统计学意义(χ^(2)=20.843,P<0.001)。检查先天性子宫畸形分型结果组间差异无统计学意义(P>0.05);以腔镜联合检查为参照,经阴道二维子宫输卵管超声检查对不完全型纵隔子宫、双子宫的诊断一致性较好(Kappa>0.7),对诊断完全型纵隔子宫、单角子宫、双角子宫、弓形子宫存在一致性(Kappa>0.4)。经阴道二维子宫输卵管超声检查并发症发生率及检查所需时间均低于宫、腹腔镜联合检查,差异有统计学意义(P<0.05)。结论经阴道二维子宫输卵管超声检查对先天性子宫畸形鉴别和分型诊断具有一定临床价值。
Objective To explore the clinical value of transvaginal two-dimensional hysterosalpingography in the differentiation and classification of congenital uterine malformations.Methods The clinical data of patients with suspected congenital uterine malformations who were treated for irregular menstruation or habitual abortion were reviewed.Transvaginal two-dimensional hysterosalpingography and combined hysteroscopy and laparoscopy were performed to compare the coincidence rate of ultrasonography with combined hysteroscopy and laparoscopy.Results Among 101 patients with suspected congenital uterine malformation,92 cases(91.09%)were confirmed by combined hysteroscopy and laparoscopy,and 65 cases(64.35%)were found by transvaginal two-dimensional hysterosalpingography before operation.There was a statistically significant difference in the detection rate between combined examination and ultrasonography(χ^(2)=20.843,P<0.001).No statistically significant difference existed between the groups'classification results of congenital uterine abnormalities(P>0.05).With the combined examination of endoscopy as a reference,transvaginal two-dimensional hysterosalpingography had good consistency in the diagnosis of the incomplete mediastinal uterus and double uterus(Kappa>0.7),and there was consistency in the diagnosis of the complete mediastinal uterus,single horn uterus,bicornuate uterus and arched uterus(Kappa>0.4).The incidence of complications and the examination time required for transvaginal two-dimensional hysterosalpingography were significantly lower than those of combined hysteroscopy and laparoscopy,and the differences were statistically significant(P<0.05).Conclusions The transvaginal two-dimensional hysterosalpingography has certain clinical value in differentiating and classifying congenital uterine malformations.
作者
戴爱丽
周全
焦婷婷
DAI Aili;ZHOU Quan;JIAO Tingting(B-Ultrasound Room,Zhejiang Jinhua Guangfu Tumor Hospital,Jinhua 321000,China)
出处
《健康研究》
CAS
2022年第4期477-480,共4页
Health Research
关键词
先天性子宫畸形
经阴道
二维子宫输卵管超声
诊断价值
congenital uterine malformation
transvaginal
two-dimensional hysterosalpingography
diagnostic value
