Fedele L, Ferrazzi E, Dorta M, Vercellini P, Candiani G B
1st Department of Obstetrics and Gynecology, University of Milan, Italy.
Fertil Steril. 1988 Aug;50(2):361-4. doi: 10.1016/s0015-0282(16)60087-0.
A total of 43 infertile patients with hysterosalpingographic diagnosis of bifid uterus underwent sonography and subsequent laparoscopy/hysteroscopy to evaluate the capacity of ultrasound to demonstrate the peritoneal profile of the malformed uteri correctly. Sonographic visualization was adequate in 39 cases (90.7%) and the following were identified correctly: 1 of 2 didelphic uteri, all of 11 bicornuate uteri, all of 4 complete septate uteri, and all of 22 partial septate uteri. The sensitivity of ultrasound in detecting the presence of a perimetrial fundal notch was 92.3% and its specificity 100%. Thus, a precise differential diagnosis of "double" uteri was possible with this technique, which may in some clinical situations provide an alternative to laparoscopy.
共有43例子宫输卵管造影诊断为双子宫的不孕患者接受了超声检查，随后进行了腹腔镜检查/宫腔镜检查，以评估超声正确显示畸形子宫腹膜轮廓的能力。39例（90.7%）超声显示良好，以下情况被正确识别：2例双子宫中的1例，11例双角子宫中的全部，4例完全纵隔子宫中的全部，以及22例部分纵隔子宫中的全部。超声检测子宫底周围切迹的敏感性为92.3%，特异性为100%。因此，用这种技术可以对“双”子宫进行精确的鉴别诊断，在某些临床情况下，这可能是腹腔镜检查的一种替代方法。
