| 覃翠优,吴贻怡,韦丽萍,陶敏玲,王建香,邓景匀.经阴道二维超声联合三维超声自由解剖成像诊断宫腔粘连[J].中国医学影像技术,2025,41(2):300~303 |
| 经阴道二维超声联合三维超声自由解剖成像诊断宫腔粘连 |
| Transvaginal two-dimensional ultrasonography combined with three-dimensional ultrasonography OmniView for diagnosing intrauterine adhesion |
| 投稿时间：2024-09-17 修订日期：2024-10-14 |
| DOI：10.13929/j.issn.1003-3289.2025.02.025 |
| 中文关键词: 子宫疾病 超声检查 成像,三维 |
| 英文关键词:uterine diseases ultrasonography imaging,three-dimensional |
| 基金项目:广西壮族自治区卫生健康委员会自筹经费科研课题(Z-C20221684)。 |
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| 中文摘要: |
| 目的 观察经阴道二维超声(2D-TVS)联合三维超声自由解剖成像(OmniView)诊断宫腔粘连(IUA)的价值。方法 回顾性纳入200例疑诊IUA患者,其中172例最终确诊IUA、余28例无IUA;分析2D-TVS及OmniView的诊断效能。结果 200例疑诊IUA中,2D-TVS诊断IUA 150例(诊断正确135例)、OmniView诊断167例(诊断正确159例),2D-TVS联合OmniView诊断170例(诊断正确165例);三者诊断IUA的曲线下面积(AUC)分别为0.625、0.819及0.890,以联合诊断的AUC最大(P 均＜0.05),其诊断敏感度为95.93%、特异度为82.14%、阳性预测值为97.06%、阴性预测值为76.67%。结论 2D-TVS联合OmniView技术有助于诊断IUA。 |
| 英文摘要: |
| Objective To observe the value of transvaginal two-dimensional ultrasonography (2D-TVS) combined with three-dimensional ultrasonography OmniView for diagnosing intrauterine adhesion (IUA). Methods Totally 200 women with suspected IUA were retrospectively enrolled, including 172 cases who were ultimately diagnosed IUA and the rest 28 without IUA. The efficacy of 2D-TVS combined with OmniView for diagnosing IUA was analyzed. Results Among 200 cases, 150 cases were diagnosed IUA with 2D-TVS (135 cases were diagnosed correctly), 167 cases were diagnosed IUA with OmniView (159 cases were diagnosed correctly), and 170 cases were diagnosed with combination of the above two (165 cases were diagnosed correctly). The area under the curve (AUC) of 2D-TVS, OmniView and 2D-TVS combined with OmniView for diagnosing IUA was 0.625, 0.819 and 0.890, respectively, and 2D-TVS combined with OmniView had the highest AUC (both P＜0.05), with sensitivity of 95.93%, specificity of 82.14%, positive predictive value of 97.06% and negative predictive value of 76.67%. Conclusion 2D-TVS combined with OmniView could be helpful for diagnosing IUA. |
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