【摘要】 目的探讨经阴道三维超声(3D-TVS)联合能量多普勒(PDI)对诊断宫腔粘连的临床应用价值。方法选取可疑宫腔粘连患者作为研究对象;同时随机选择部分正常育龄期妇女作为对照组。通过3D-TVS联合PDI检测宫腔粘连患者的子宫内膜厚度(d)、回声强度(MG)、子宫内膜腔内容积(V)及子宫内膜下血流参数变化的相关指标,如子宫动脉搏动指数(PI)及阻力指数(RI)值、子宫内膜血管指数(VI)、血流指数(FI)及血管血流综合指数(VFI)等,回顾性分析宫腔粘连者与对照组在上述检查中获得的子宫内膜相关指标及内膜下血流参数变化的关系。所有指标的测定都经由超声科专家双盲法确定。结果宫腔粘连者子宫内膜变薄,内膜线不连续,不规则回声增强,内膜腔内容积减小,子宫动脉PI及RI值较正常者稍增高,子宫内膜VI、FI及VFI的血流参数测值较正常者降低。结论 3D-TVS联合PDI经阴道超声可较为客观的评价宫腔粘连者的子宫内膜及其血流变化,对临床诊断宫腔粘连具有很高的预测价值。更多还原

【Abstract】 Objective To investigate the clinical value of transvaginal three-dimensional ultrasound(3 D-TVS) combined with energy Doppler(PDI) in the diagnosis of intrauterine adhesions.Methods Select patients with suspected intrauterine adhesions as the research object,A part of normal women of childbearing age were randomly selected as the control group.The indexes of endometrial thickness(d),echo intensity(MG),endometrial cavity volume(V),uterine artery pulsatility index(PI) and resistance index(RI),endometrial vascular index(VI),blood flow index(FI) and vascular perfusion index(VFI) were detected by 3 D-TVS combined with PDI.The relationship between endometrial related parameters and subintimal blood flow parameters obtained in the above examination was analyzed retrospectively.Evaluate the clinical value of transvaginal three-dimensional ultrasonography combined with energy Doppler in predicting intrauterine adhesions.All patients suspected of intrauterine adhesions in the menstrual clean 2 to 5 days after hysteroscopy intrauterine adhesions during the indexing of the gold standard.All indicators were determined by double-blind ultrasound experts double-blind method. Results Intrauterine adhesions thinner endometrium,endometrial line is not continuous,irregular echo enhancement,endometrial cavity volume decreases,uterine artery PI and RI values slightly higher than normal,endometrial VI,FI and VFI blood flow parameters measured lower than normal. Conclusion 3 D-TVS combined with PDI transvaginal ultrasound can be more objective evaluation of intrauterine adhesions endometrium and blood flow changes,clinical diagnosis of intrauterine adhesions with high predictive value.更多还原