Value of three-dimensional ultrasound imaging in diagnosis of congenital uterine malformation
Objective To explore the value of three-dimensional ultrasound imaging in the diagnosis of congenital uterine malformation.Methods The clinical data of 80 patients with suspected congenital uterine malformation treated at Weihai Municipal Hospital from May 2021 to April 2023 were retrospectively analyzed.They were 22 to 38 years old,with a median age of 28.34.Among them,32 cases were infertile,28 cases had primary abortion,and 20 cases had recurrent abortion.All of them were examined by two-dimensional ultrasound and three-dimensional ultrasound,and the combined diagnosis results of hysteroscopy and laparoscopy were regarded as the gold standard.The diagnostic efficiencies of two-dimensional ultrasound and three-dimensional ultrasound were compared,and the classification accuracy of three-dimensional ultrasound was calculated.x2 test was used.Results A total of 80 patients with suspected congenital uterine malformation were screened out.The gold standard(hysteroscopy combined with laparoscopy)showed that there were 60 cases of congenital uterine malformation and 20 cases of non-congenital uterine malformation.Two-dimensional ultrasound showed that there were 50 cases of congenital uterine malformation and 30 cases of non-congenital uterine malformation.Three-dimensional ultrasound showed that there were 58 cases of congenital uterine malformation and 22 cases of non-congenital uterine malformation.The accuracy and sensitivity of three-dimensional ultrasound in diagnosing congenital uterine malformation were higher than those of two-dimensional ultrasound,and the missed diagnosis rate was lower than that of two-dimensional ultrasound(x2=4.80,4.91,and 4.91;P＜0.05),but there was no statistical difference in specificity and misdiagnosis rate between the two methods(both P＞0.05).The accuracies of three-dimensional ultrasound in diagnosing complete mediastinal uterus and incomplete mediastinal uterus were 94.74％(18/19)and 96.67％(29/30),respectively,and the accuracies in diagnosing other different types of congenital uterine malformations were 100.00％.The accuracies of two-dimensional ultrasound in diagnosing complete mediastinal uterus and incomplete mediastinal uterus were 78.95％(15/19)and 86.67％(26/30),respectively,and the accuracy in diagnosing arcuate uterus and residual horn/single horn uterus was only 66.67％(2/3),while the accuracies in diagnosing other different types of congenital uterine malformations were 100.00％.Conclusions Three-dimensional ultrasound imaging is of great value in the diagnosis of congenital uterine malformation,with high sensitivity and accuracy.At the same time,it can accurately classify diseases and has good clinical diagnostic value.
万方数据
维普
