Clinical Value of Transvaginal Two-dimensional Ultrasound Combined with Three-dimensional Ultrasound Volumetric Imaging in the Diagnosis of Endometrial Lesions
Objective:To investigate the clinical value of transvaginal two-dimensional ultrasound(2D-TVS)combined with three-dimensional ultrasound(3D-TVS)volumetric imaging for the diagnosis of endometrial lesions.Method:300 patients with endometriosis admitted to Pizhou Maternal and Child Health Hospital from April 2021 to September 2023 were selected as study subjects,and all patients underwent 2D-TVS and 3D-TVS volumetric imaging.The excellent rate of image clarity of different imaging techniques was compared,and the diagnostic compliance rate between single and combined examinations was compared by the hysteroscopy.And the result of pathologic diagnoses was taken as the gold standard.Result:The image clarity excellence rate of 3D-TVS volumetric imaging was 94.33%,which was higher than 72.00%of 2D-TVS,and the difference was statistically significant(P<0.05).Pathologic diagnosis of benign endometrial lesions was made in 266 cases,including 83 cases of mesometrial polyps,63 cases of atypical endometrial hyperplasia,42 cases of endometrial hyperplasia,48 cases of endometrioid adenopathy,30 cases of submucosal smooth muscle tumors of the uterus,and 34 cases of malignant endometrial lesions.The diagnostic compliance rate of the combined examination was higher than that of 2D-TVS and 3D-TVS volumetric imaging alone,and the diagnostic compliance rate of 3D-TVS volumetric imaging was higher than that of 2D-TVS,and the difference was statistically significant(P<0.05).Conclusion:Compared with 2D-TVS,3D-TVS,volumetric imaging can provide clearer and more accurate ultrasound images,and the compliance rate of 3D-TVS volumetric imaging for diagnosing endometriosis was higher than that of 2D-TVS,and the compliance rate of the combined diagnosis of endometriosis was higher than that of the single diagnosis,so clinic suggested adopting the combined diagnosis to improve the diagnostic accuracy of endometriosis.
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