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目的:探讨三维冠状面成像在诊断子宫畸形合并早期妊娠的应用价值,寻求提高子宫畸形合并早期妊娠诊断准确性的有效方法。方法:对门诊确诊为早孕并可疑子宫畸形要求终止妊娠的93例患者进行常规二维超声扫查,同时行三维冠状切面成像,诊断为子宫畸形合并早期妊娠后,经B超监护下行人工流产手术证实,对照二者子宫畸形合并早期妊娠诊断符合率。结果:三维超声冠状切面均能够在一个平面同时显示子宫外形、宫腔形态、畸形部位及与孕囊着床位置的空间关系,优于二维超声。经二维、三维超声诊断为子宫畸形合并早孕者51例,其中经人工流产手术证实44例,二维超声诊断符合35例,漏诊9例,二维超声诊断符合率79.54%;三维超声诊断符合44例,三维超声诊断符合率100.00%。结论:三维超声能够对子宫冠状切面成像,提供更多有关子宫畸形的声学信息,能更准确诊断子宫畸形合并早期妊娠。
Objective: To explore the value of three-dimensional coronal imaging in the diagnosis of uterine malformation combined with early pregnancy, and to seek an effective method to improve the diagnostic accuracy of uterine malformation combined with early pregnancy. Methods: Ninety-three patients diagnosed as early pregnancy and suspicious uterine malformations requiring termination of pregnancy underwent routine two-dimensional ultrasonography and three-dimensional coronal section imaging. After the diagnosis of uterine malformation combined with early pregnancy, B-ultrasound guided abortion Confirmed that the control of both uterine malformations combined with early pregnancy coincidence rate. Results: The three-dimensional ultrasound coronal sections were able to show the shape of the uterus, the shape of the uterine cavity, the location of the malformation and the spatial relationship with the implantation position of the gestational sac in one plane, which was better than the two-dimensional ultrasound. Fifty-one cases were diagnosed as uterine malformation with early pregnancy by two-dimensional and three-dimensional ultrasonography. Forty-four cases were confirmed by artificial abortion, 35 cases were diagnosed by two-dimensional ultrasonography, 9 cases were missed by two-dimensional ultrasonography. The coincidence rate of two-dimensional ultrasound was 79.54% 44 cases, three-dimensional ultrasound diagnosis coincidence rate of 100.00%. CONCLUSIONS: Three-dimensional ultrasound can image the coronal section of the uterus, provide more acoustic information about uterine malformations, and can more accurately diagnose uterine malformation associated with early pregnancy.