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目的研究分析腔内三维超声与宫腔镜检查对残角子宫畸形的诊断价值。方法选择在医院接受治疗的疑似残角子宫畸形的患者70例作为研究对象,将病理诊断结果作为诊断的金标准,分别应用腔内三维超声(设为观察组)与宫腔镜(设为对照组)进行检查。结果观察组的阳性检出率为75.7%(53/70),阴性检出率为24.3%(17/70);对照组的阳性检出率为60.0%(42/70),阴性检出率为40.0%(28/70),两组差异有统计学意义(P<0.05)。病理诊断结果确诊为残角子宫畸形的共56例,占所有检查人群的80.0%;观察组诊断的准确性为94.6%(53/56),对照组诊断的准确性为75.0%(42/56),两组差异有统计学意义(P<0.05)。结论与腔内宫腔镜比较,腔内三维超声在残角子宫畸形的诊断中具有更高的应用价值,能够有效提高残角子宫畸形的检出率,同时具有操作便捷、创伤小的优点,值得临床推广。
Objective To study the value of intracavitary three-dimensional ultrasound and hysteroscopy in the diagnosis of residual angle uterine malformation. Methods Seventy patients with suspected residual angle uterine malformations who were treated in the hospital were selected as the research objects. The pathological diagnosis was used as the gold standard for diagnosis. Three-dimensional ultrasound (set as observation group) and hysteroscopy Group) to check. Results The positive rate was 75.7% (53/70) in the observation group and 24.3% (17/70) in the observation group. The positive rate in the control group was 60.0% (42/70). The negative detection rate 40.0% (28/70), the difference between the two groups was statistically significant (P <0.05). Fifty-six cases diagnosed as rudimentary horn horns were diagnosed by pathological diagnosis, accounting for 80.0% of all examinations. The diagnostic accuracy was 94.6% (53/56) in the observation group and 75.0% (42/56) in the control group ), The difference between the two groups was statistically significant (P <0.05). Conclusion Compared with endoscopic hysteroscopy, intracavitary three-dimensional ultrasound in the diagnosis of residual angle uterine malformation has a higher value, can effectively improve the detection rate of residual angle uterine malformations, and has the advantages of convenient operation, small trauma, Worth clinical promotion.