超声子宫造影术在不孕女性腔内病变筛查中的应用
Hydrosonography in screening for intracavitary pathology in infertile women.
作者信息
Guven M A, Bese T, Demirkiran F, Idil M, Mgoyi L
机构信息
Department of Obstetrics and Gynecology, Kahramanmaraş Sütcüimam University, Faculty of Medicine, Kahramanmaras, Turkey.
出版信息
Int J Gynaecol Obstet. 2004 Sep;86(3):377-83. doi: 10.1016/j.ijgo.2004.05.005.
OBJECTIVES
We evaluated the value of hydrosonography in screening for intracavitary pathologies in infertile patients.
METHODS
A total of 93 infertile women with suspected intracavitary lesions on transvaginal ultrasonography (TVS) underwent hydrosonography. Specimens obtained either by dilatation and curettage or hysteroscopic resection were compared with findings on TVS and hydrosonography.
RESULTS
Pathology confirmed the presence of sonographically diagnosed intracavitary lesions in 40 out of 66 (60%) women. The sensitivity, specificity, positive predictive value, and negative predictive value of TVS for the detection of endometrial cavity lesions were 78%, 38%, 61%, and 59%, respectively. Forty-six out of 71 (65%) women who were found to have intracavitary lesions on hydrosonography were pathologically confirmed. The sensitivity, specificity, positive and negative predictive value of hydrosonography in the detection of endometrial cavity lesions were 90%, 40%, 65%, and 77%, respectively.
CONCLUSIONS
Hydrosonography is a useful procedure in screening for intracavitary pathologies and allows differentiation of intracavitary, endometrial, and submucosal abnormalities.
目的
我们评估了子宫声学造影在不孕患者腔内病变筛查中的价值。
方法
共有93例经阴道超声检查（TVS）怀疑有腔内病变的不孕女性接受了子宫声学造影。将通过刮宫术或宫腔镜切除术获取的标本与TVS和子宫声学造影的检查结果进行比较。
结果
病理证实66例女性中有40例（60%）存在超声诊断的腔内病变。TVS检测子宫内膜腔病变的敏感性、特异性、阳性预测值和阴性预测值分别为78%、38%、61%和59%。子宫声学造影发现有腔内病变的71例女性中有46例（65%）经病理证实。子宫声学造影检测子宫内膜腔病变的敏感性、特异性、阳性和阴性预测值分别为90%、40%、65%和77%。
结论
子宫声学造影是腔内病变筛查的一种有用方法，能够区分腔内、子宫内膜和黏膜下异常。
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