经阴道二维超声检查在诊断宫腔粘连中的应用
Application of 2D Transvaginal Ultrasonography in the Diagnosis of Intrau-terine Adhesions
于俊欣 1张丁丁 1王浩 2安娜 1刘广会 1张旭 1赵小琪1
作者信息
- 1. 100102 北京,中国中医科学院望京医院超声科
- 2. 100102 北京,中国中医科学院望京医院妇科
- 折叠
摘要
目的 探究经阴道二维超声诊断宫腔粘连的应用价值.方法 研究组选取2022 年1 月至2024 年1 月收治的70 例宫腔粘连患者,对照组则为同期接受健康体检的70 例女性,均进行阴道二维超声检查.比较2 组的超声参数子宫动脉搏动指数(PI)、阻力指数(RI)、收缩期流速与舒张期流速比值(S/D)以及子宫内膜厚度,并比较不同程度宫腔粘连患者上述指标情况,分析宫腔粘连程度与上述指标的相关性.采用受试者工作特征(ROC)曲线评价经阴道二维超声对宫腔粘连的诊断效能.结果 研究组子宫动脉PI、RI、S/D高于对照组,子宫内膜厚度低于对照组(P＜0.01).随着宫腔粘连程度的加重,患者PI、RI、S/D呈逐渐上升趋势,子宫内膜厚度呈逐渐下降趋势(P＜0.01);宫腔粘连程度与PI、RI、S/D呈正相关,而与子宫内膜厚度呈负相关(P＜0.05).ROC曲线分析显示,PI、RI、S/D、子宫内膜厚度诊断宫腔粘连的曲线下面积(AUC)分别为0.684、0.634、0.814、0.671,4 项联合诊断宫腔粘连的AUC为 0.905.结论 经阴道二维超声能较好评估宫腔粘连患者的粘连程度与子宫内膜情况.
Abstract
Objective To explore the application value of 2-dimensional(2D)transvaginal ultrasonography(TVUS)in the diagnosis of intrauterine adhesions(IUA).Methods A total of 70 patients with IUA from January 2022 to January 2024 were selected as the research group,and another 70 women who underwent physical examination during the same period were enrolled as the control group.Both groups received 2D TVUS.The ultrasonic parameters of the two groups were com-pared,including uterine artery pulsatility index(UAPI),resistance index(RI),systolic to diastolic velocity ratio(S/D)and endometrial thickness;the above indexes of patients with different grades of IUA were compared,and the correlation be-tween the degree of IUA and the above indexes was analyzed.Receiver operating characteristic(ROC)curve was used to eval-uate the diagnostic efficacy of 2D TVUS for IUA.Results The UAPI,RI and S/D in the research group were higher than those in the control group,while the endometrial thickness was lower than that in the control group(P＜0.01).With the ag-gravation of IUA,PI,RI and S/D showed a gradual increase,while endometrial thickness showed a gradual decrease(P＜0.01).The degree of IUA was positively correlated with PI,RI and S/D,but negatively correlated with endometrial thickness(P＜0.05).ROC curve analysis showed that the area under the ROC curve(AUC)of PI,RI,S/D and endometrial thick-ness in the diagnosis of IUA were 0.684,0.634,0.814 and 0.671,respectively,and the AUC of the combined detection for the diagnosis of IUA was 0.905.Conclusion 2D TVUS can better evaluate the degree of adhesion and endometrium in pa-tients with IUA.
关键词
宫腔粘连/阴道二维超声/宫腔镜检查/诊断/搏动指数/阻力指数/子宫内膜厚度/受试者工作特征Key words
Intrauterine adhesion/2D transvaginal ultrasonography/Hysteroscopy/Diagnosis/Pulsatility index/Re-sistance index/Endometrial thickness/Receiver operating characteristic引用本文复制引用
基金项目
2023年度北京市中医药科技发展资金项目拟立项重点项目(JJ-2023-107)
出版年
2024
国家科技期刊平台
NSTL
万方数据