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准确诊断子宫发育畸形是很关键的,因为要根据它来决定手术方法及途径。现许多方法可用于诊断子宫畸形,如:简单盆腔检查、子宫输卵管造影术(HSG)、腹超和阴超(TVUS)、超声子宫造影、核磁共振(MRI)和三维超声检查。但大多数这类方法很少用于子宫纵隔患者的研究。为确定TVUS用作诊断子宫纵隔的可行性,从佛蒙特大学1990～1996年间的大量病案中选择了39例曾经宫腔镜切除子宫纵隔患者的病历及所有术前图像资料。27例(指征为确定妊娠期11例,异常子宫输卵管造影7例,习惯性流产4例,因曾有子宫扩刮术或剖宫产术疑为子宫纵隔者3例,常规卵泡监测2例)接受了术前超声诊断。患者均为首次接受超声扫描检查,用一个5MHz的探头记录了所有的图像资料。正常子宫在标准TVUS中显示出完整的宫底,而子宫纵隔在横切面上可见将子宫内膜分割成两部分。27例中22例经超声检查为子宫纵隔,其敏感性为81%(22/
Accurate diagnosis of uterine malformations is critical, because according to it to determine the surgical methods and ways. Many methods are available for the diagnosis of uterine malformations such as simple pelvic examination, hysterosalpingography (HSG), abdominal and transurethral ultrasound (TVUS), ultrasound uterus, magnetic resonance imaging (MRI) and three-dimensional ultrasonography. However, most of these methods are rarely used in studies of uterine mediastinal patients. To determine the feasibility of TVUS for diagnosing uterine mediastinum, 39 cases of hysteroscopic uterine mediastinum from the University of Vermont from 1990 to 1996 were selected for medical records and all preoperative imaging data. 27 cases (indications for the determination of pregnancy in 11 cases, 7 cases of abnormal uterine tubal imaging, habitual abortion in 4 cases, because there had been uterine curettage or cesarean section suspected uterine mediastinal in 3 cases, conventional follicle monitoring in 2 cases ) Underwent preoperative ultrasound diagnosis. Patients were the first to undergo an ultrasound scan and all the image data was recorded with a 5 MHz probe. The normal uterus shows the complete fundus in the standard TVUS, while the uterine mediastinum is seen in the transverse section to divide the endometrium into two parts. Of the 27 cases, 22 had ultrasonographic examination of the mediastinum with a sensitivity of 81% (22 /