Efficiency of three-dimensional transvaginal ultrasound in diagnosis of intrauterine adhesions
Objective:To observe efficiency of three-dimensional transvaginal ultrasound(3D-TVS)in diagnosis of intrauterine adhesions.Methods:A prospective study was conducted on 83 patients with suspected intrauterine adhesion admitted to the hospital from May 2021 to May 2023.All patients underwent two-dimensional transvaginal ultrasound(2D-TVS),3D-TVS and hysteroscopy.Using the results of hysteroscopy as the gold standard,the efficiencies of 2D-TVS and 3D-TVS in the diagnosis of intrauterine adhesions,and the levels of 3D-TVS quantitative parameters[endometrial volume(EV),flow index(FI),vascular index(VI),vascular blood flow index(VFI)]in the patients with different degrees of intrauterine adhesions were compared.Results:The hysteroscopy showed that 76 cases were positive and 7 cases were negative in the 83 patients with suspected intrauterine adhesions,including 33 cases mild,28 cases moderate and 15 cases severe.2D-TV examination showed that 65 cases were positive and 18 cases were negative.3D-TVS showed that 70 cases were positive and 13 cases were negative.The accuracy of 3D-TVS in the diagnosis of intrauterine adhesions was higher than that of 2D-TVS,and the difference was statistically significant(P<0.05).The comparison of EV,FI,VI and VFI levels in the patients with different degrees of intrauterine adhesions showed that,mild>moderate>severe,and the differences were statistically significant(P<0.05).Conclusions:The efficiency of 3D-TVS in the diagnosis of intrauterine adhesions is higher than that of 2D-TVS.
万方数据
维普
