Diagnostic value of 3D-TVS combined with MRI in congenital uterine malformation
Objective:To investigate the diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)combined with magnetic resonance imaging(MRI)in congenital uterine malformations.Methods:A total of 85 patients with suspected congenital uterine malformation in our hospital from May 2021 to May 2023 were selected as the research objects.The hysteroscopy results showed that 65 cases were positive and 20 cases were negative.The diagnostic efficacy and consistency of 3D-TVS and MRI alone or in combination were analyzed.Results:Compared with the single diagnosis,the sensitivity and accuracy of 3D-TVS combined with MRI were higher(95.38%and 85.88%,respectively),and the missed diagnosis rate was lower(4.62%)(P＜0.05).The results of 3D-TVS showed that there were 8 cases of complete mediastinal uterus,11 cases of incomplete mediastinal uterus,8 cases of double uterus,8 cases of unicornuate uterus,5 cases of bicornuate uterus,5 cases of rudimentary horn uterus,and 4 cases of arcuate uterus,the consistency Kappa value was 0.516.MRI results showed that there were 6 cases of complete mediastinal uterus,10 cases of incomplete mediastinal uterus,5 cases of double uterus,10 cases of unicornuate uterus,8 cases of bicornuate uterus,7 cases of rudimentary horn uterus,3 cases of arcuate uterus,and the consistency Kappa value was 0.539.The combined diagnosis of 3D-TVS and MRI showed that there were 7 cases of completely mediastinal uterus,11 cases of incompletely mediastinal uterus,5 cases of double uterus,13 cases of unicornuate uterus,5 cases of bicornuate uterus,4 cases of rudimentary horn uterus,and 4 cases of arcuate uterus,the Kappa value of consistency with hysteroscopy was 0.756.Conclusions:The combined application of 3D-TVS and MRI offers high diagnostic sensitivity and a low rate of missed diagnoses in the diagnosis of congenital uterine malformations.This approach provides a reliable basis for clinical differentiation of different types of uterine malformations and holds significant clinical application value.
万方数据
维普
