Yu Li-Li, Zhang Xuan, Zhang Ting, Chen Han-Rong, Wang Ze-Hua
Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
J Huazhong Univ Sci Technolog Med Sci. 2014 Oct;34(5):782-784. doi: 10.1007/s11596-014-1352-7. Epub 2014 Oct 16.
This study assessed the clinical application of transvaginal three-dimensional ultrasound (3D TVUS) in the diagnosis of congenital uterine malformation. A retrospective study was performed on 62 patients with congenital uterine malformation confirmed hysteroscopically and/or laparoscopically. The patients were subjected to transvaginal two-dimensional ultrasound (2D TVUS) and 3D TVUS. The accuracy rate was compared between the two methods. The accuracy rate of 3D TVUS was (98.38%, 61/62), higher than that of 2D TVUS (80.65%, 50/62). 3D TVUS coronal plane imaging could demonstrate the internal shape of the endometrial cavity and the external contour of the uterine fundus. It allowed accurate measurement on the coronary plane, and could three-dimensionally show the image of cervical tube, thereby providing information for the diagnosis of some complex uterine malformation. 3D TVUS imaging can obtain comprehensive information of the uterus malformation, and it is superior to 2D TVUS for the diagnosis of congenital uterine malformations, especially complex uterine anomaly.
本研究评估经阴道三维超声（3D TVUS）在先天性子宫畸形诊断中的临床应用。对62例经宫腔镜和/或腹腔镜确诊的先天性子宫畸形患者进行回顾性研究。对患者进行经阴道二维超声（2D TVUS）和3D TVUS检查。比较两种方法的准确率。3D TVUS的准确率为（98.38%，61/62），高于2D TVUS（80.65%，50/62）。3D TVUS冠状面成像可显示子宫内膜腔内部形态及子宫底部外部轮廓。它能在冠状面上进行精确测量，并能三维显示宫颈管图像，从而为某些复杂子宫畸形的诊断提供信息。3D TVUS成像可获取子宫畸形的全面信息，在先天性子宫畸形尤其是复杂子宫畸形的诊断方面优于2D TVUS。
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