南凤娟,鲁晨曦,张华贞,刘志勇,师伟.腔内三维超声自由解剖切面联合容积对比成像诊断周围型宫腔粘连[J].中国介入影像与治疗学,2022,19(6):348-351
腔内三维超声自由解剖切面联合容积对比成像诊断周围型宫腔粘连
Three-dimensional transvaginal ultrasound OmniView combined with volume contrast imaging for diagnosis of peripheral intrauterine adhesions
投稿时间:2021-11-22  修订日期:2022-03-02
DOI:10.13929/j.issn.1672-8475.2022.06.007
中文关键词:  子宫疾病  腔内超声检查  宫腔粘连  成像,三维  自由解剖切面
英文关键词:uterine diseases  endosonography  intrauterine adhesions  imaging, three-dimensional  OmniView
基金项目:国家自然科学基金面上项目(81873330)、山东省泰山学者工程项目(tsqn201909185)。
作者单位E-mail
南凤娟 山东中医药大学附属医院妇科, 山东 济南 250012  
鲁晨曦 山东中医药大学附属医院妇科, 山东 济南 250012  
张华贞 山东中医药大学附属医院妇科, 山东 济南 250012  
刘志勇 山东中医药大学实验中心, 山东 济南 250012  
师伟 山东中医药大学附属医院妇科, 山东 济南 250012 sw19781214@163.com 
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中文摘要:
      目的 评价腔内三维超声自由解剖切面(OmniView)联合容积对比成像(VCI)用于诊断周围型宫腔粘连(IUA)的价值。方法 对53例疑诊IUA患者行经阴道二维超声(2D-TVS)及腔内三维超声OmniView-VCI检查;以宫腔镜检查结果为金标准,与2D-TVS对比,评价OmniView-VCI对周围型IUA的诊断效能。结果 宫腔镜检查确诊48例周围型IUA、5例无明显粘连。腔内三维超声OmniView-VCI准确诊断41例周围型IUA、4例无粘连,诊断准确率为84.91%(45/53);2D-TVS准确诊断32例周围型IUA、2例无粘连,诊断准确率64.15%(34/53);二者诊断准确率差异具有统计学意义(P=0.01)。受试者工作特征(ROC)曲线结果显示,OmniView-VCI和2D-TVS诊断周围型IUA的曲线下面积(AUC)分别为0.83[95%CI(0.61,1.00)]和0.53[95%CI(0.26,0.81)]。结论 腔内三维超声OmniView-VCI可有效诊断周围型IUA。
英文摘要:
      Objective To explore the diagnostic value of three-dimensional transvaginal ultrasound OmniView combined with volume contrast imaging (VCI) for diagnosing peripheral intrauterine adhesion (IUA). Methods Fifty-three patients with suspected IUA underwent transvaginal two-dimensional ultrasound (2D-TVS) and intracavitary three-dimensional ultrasound OmniView-VCI. Taken hysteroscopy as the golden diagnostic standard, the diagnostic efficiency of OmniView-VCI and 2D-TVS for peripheral IUA was analyzed compared with 2D-TVS. Results Hysteroscopy confirmed 48 cases of peripheral IUA and 5 cases without adhesion. Omniview-VCI accurately diagnosed 41 cases of peripheral IUA and 4 cases without adhesion, and the accuracy of OmniView-VCI for diagnosing peripheral IUA was 84.91% (45/53). Meanwhile, 2D-TVS accurately diagnosed 32 cases of peripheral IUA and 2 cases without adhesion, and the accuracy of 2D-TVS for diagnosing peripheral IUA was 64.15% (34/53). There was significant difference of diagnostic accuracy between OmniView-VCI and 2D-TVS (P=0.01). The results of receiver operating characteristic (ROC) curve showed that the area under the curve (AUC) of OmniView-VCI and 2D-TVS was 0.83 (95%CI [0.61, 1.00]) and 0.53 (95%CI [0.26, 0.81]), respectively. Conclusion Three-dimensional transvaginal ultrasound OmniView combined VCI could effectively diagnose peripheral IUA.
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