Makris N, Kalmantis K, Skartados N, Papadimitriou A, Mantzaris G, Antsaklis A
First Department of Obstetrics and Gynecology, University of Athens, Alexandra Hospital, Athens, Greece.
Int J Gynaecol Obstet. 2007 Apr;97(1):6-9. doi: 10.1016/j.ijgo.2006.10.012. Epub 2007 Feb 20.
To compare 3-dimentional hysterosonography (3-DHS) and diagnostic hysteroscopy for the evaluation of intrauterine lesions.
In this prospective study 124 women with suspected intrauterine abnormality on 2-D ultrasonography or on hysterosalpingography were scheduled to undergo hysteroscopy, 3-DHS, and 3-D power Doppler (3-DPD) examination. However, 3-DHS could not be performed in 3 of the women because of cervical stenosis. The sensitivity and specificity of 3-DHS and 3-DPD were compared with those of hysteroscopy.
Of the 121 women found to have an intracavitary abnormality, 20 had polyps, 11 had myomas, 2 had Müllerian duct anomalies, and 6 had synechiae on hysteroscopy. There was agreement between hysteroscopy and 3-DHS in 19 of the polyp cases, 11 of the myoma cases, 2 of the Müllerian anomaly cases, and 4 of the synechiae cases. Examination with 3-DHS and 3-DPD reached a sensitivity of 91.9% and specificity of 98.8%, with a positive predictive value of 97.1% and a negative predictive value of 96.5%, respectively.
Examination with 3-DHS and 3-DPD both allows for accurate assessment of intrauterine abnormalities.
比较三维子宫超声检查（3-DHS）和诊断性宫腔镜检查对宫腔内病变的评估效果。
在这项前瞻性研究中，124例经二维超声或子宫输卵管造影检查怀疑有宫腔异常的女性被安排接受宫腔镜检查、3-DHS检查和三维能量多普勒（3-DPD）检查。然而，由于宫颈狭窄，3例女性无法进行3-DHS检查。将3-DHS和3-DPD的敏感性和特异性与宫腔镜检查的敏感性和特异性进行比较。
在121例发现有宫腔内异常的女性中，宫腔镜检查发现20例有息肉，11例有肌瘤，2例有苗勒管异常，6例有粘连。在息肉病例中，19例、肌瘤病例中11例、苗勒管异常病例中2例、粘连病例中4例，宫腔镜检查结果与3-DHS检查结果一致。3-DHS和3-DPD检查的敏感性分别为91.9%，特异性为98.8%，阳性预测值为97.1%，阴性预测值为96.5%。
3-DHS和3-DPD检查均能准确评估宫腔内异常情况。
