| 廖林,赵婧,杨家翔.三维超声生理盐水宫腔声学造影与宫腔镜检查对子宫黏膜下肌瘤分型对比[J].中国医学影像技术,2010,26(9):1748~1750 |
| 三维超声生理盐水宫腔声学造影与宫腔镜检查对子宫黏膜下肌瘤分型对比 |
| Comparison of three-dimensional saline infusion sonohysterography and hysteroscopy for the typing of submucous uterine myoma |
| 投稿时间：2010-04-21 修订日期：2010-05-25 |
| DOI： |
| 中文关键词: 宫腔镜检查 超声检查 平滑肌瘤 |
| 英文关键词:Hysteroscopy Ultrasonography Leiomyoma |
| 基金项目: |
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| 中文摘要: |
| 目的 评估三维超声生理盐水宫腔声学造影(3D-SIS)对子宫黏膜下肌瘤术前分型的临床价值。 方法 选择因不规则阴道出血并经阴道超声检查(TVS)诊断为子宫黏膜下肌瘤的患者62例,用3D-SIS与宫腔镜(HS)检查按照欧洲宫腔镜学会对黏膜下肌瘤的分型标准,分别对子宫黏膜下肌瘤进行分型并与术后分型结果比较。 结果 62例患者共检出子宫黏膜下肌瘤73个,均经手术证实,3D-SIS及HS检查对子宫黏膜下肌瘤分型的一致性分别为:0型100%(13/13);Ⅰ型92.31%(24/26);Ⅱ型82.35%(28/34),总一致性为89.04%(65/73)。 结论 通过术前对子宫黏膜下肌瘤的分型,3D-SIS对选择合适的手术方式具有重要的临床价值。 |
| 英文摘要: |
| Objective To evaluate the clinical value of three-dimensional saline infusion sonohysterography (3D-SIS) for the typing of submucous uterine myoma before operation. Methods Sixty-two patients with history of menorrhagia were diagnosed as submucous uterine myoma with two-dimensional transvaginal ultrasound (TVS). Fibroids were classified with 3D-SIS and hysteroscopy (HS) according to the European Society of Hysteroscopy Classification of Submucous Fibroids. The results were then compared with the postoperative results. Results A total of 73 submucous uterine myomas were identified in 62 patients and comfirmed with operation. The consistency of the two methods was 100% (13/13) in 0 type, 92.31% (24/26) in Ⅰ type, and 82.35% (28/34) in Ⅱ type submucous uterine myomas. The overall consistency of the two methods was up to 89.04% (65/73). Conclusion Preoperative classification of submucous uterine myomas with 3D-SIS has important clinical value to guide clinical selection of appropriate operative method. |
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