Kupesic S, Kurjak A
Department of Obstetrics and Gynecology, Medical School, University of Zagreb, Sveti Duh Hospital, Croatia.
J Ultrasound Med. 1998 Oct;17(10):631-6. doi: 10.7863/jum.1998.17.10.631.
The aims of the study were to compare the accuracy of transvaginal ultrasonography, transvaginal color Doppler sonography, hysterosonography, and three-dimensional ultrasonography in detection of septate uterus and to evaluate the occurrence of obstetrical complications in relation to septal dimension and vascularity. Each patient underwent transvaginal ultrasonography and color Doppler examination, whereas hysterosonography and three-dimensional ultrasonography were carried out in 76 and 86 patients, respectively. The sensitivity of different sonographic imaging modalities ranges between 95.21% and 99.29%. Color and pulsed Doppler sonographic studies of the septal area revealed vascularity in 71.22%. Patients with vascularized septa had a higher prevalence of obstetrical complications than those with avascularized septa (P < 0.05). Three-dimensional ultrasonography and hysterosonography are highly accurate diagnostic tools for detection of uterine septa. We found no correlation between septal dimension and rate of obstetrical complications, although pregnancy loss was most likely to occur in patients with vascularized septa.
本研究的目的是比较经阴道超声检查、经阴道彩色多普勒超声检查、子宫超声造影和三维超声检查在检测纵隔子宫方面的准确性，并评估与纵隔尺寸和血管形成相关的产科并发症的发生率。每位患者均接受经阴道超声检查和彩色多普勒检查，而分别有76例和86例患者接受了子宫超声造影和三维超声检查。不同超声成像方式的敏感性在95.21%至99.29%之间。彩色和脉冲多普勒超声对纵隔区域的研究显示，71.22%存在血管形成。有血管化纵隔的患者产科并发症的发生率高于无血管化纵隔的患者（P<0.05）。三维超声检查和子宫超声造影是检测子宫纵隔的高度准确的诊断工具。我们发现纵隔尺寸与产科并发症发生率之间无相关性，尽管有血管化纵隔的患者最有可能发生妊娠丢失。
