Volume 19 Issue 8
Aug.  2021
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(8): 1351-1353,1366
SHU Yan, CAI Ting-ting, LIU Ming-song, ZHANG Wei-feng, LU Wen-ming. Application of ultrasound combined with sonohysterography in intrauterine adhesion[J]. Chinese Journal of General Practice, 2021, 19(8): 1351-1353,1366. doi: 10.16766/j.cnki.issn.1674-4152.002058
Citation: SHU Yan, CAI Ting-ting, LIU Ming-song, ZHANG Wei-feng, LU Wen-ming. Application of ultrasound combined with sonohysterography in intrauterine adhesion[J]. Chinese Journal of General Practice, 2021, 19(8): 1351-1353,1366. doi: 10.16766/j.cnki.issn.1674-4152.002058
shu

Application of ultrasound combined with sonohysterography in intrauterine adhesion

doi: 10.16766/j.cnki.issn.1674-4152.002058
  • 1.

    Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang 313000, China

Funds:

 2019GY37

 2019PY015

  • Received Date: 2020-04-12
    Available Online: 2022-02-16
    Abstract
  •   Objective  With hysteroscopy as the gold standard, the diagnostic sensitivity and grade and type of intrauterine adhesion (IUA) detected by ultrasound combined with sonohysterography (SHG) were analysed, and the application value of ultrasound combined with SHG in detecting IUA was discussed.  Methods  Sixty-five patients diagnosed with IUA by hysteroscopy in our hospital from April 2018 to October 2019 were selected. The subjects were examined by three-dimensional transvaginal ultrasound (3D-TVUS) and SHG, and the diagnosis results of 65 patients evaluated using 3D-TVUS combined with hysteroscopy were compared.  Results  The combined examination of 3D-TVUS and SHG resulted in 62 confirmed cases with a sensitivity of 95.38%, which was not significantly different from the results of hysteroscopy (P>0.05). There were 15 cases (23.08%) with mild adhesions, 18 cases (27.69%) with moderate adhesions and 32 cases (49.23%) with severe adhesions diagnosed by hysteroscopy. There were 15 cases (23.08%) with mild adhesions, 19 cases (29.23%) with moderate adhesions and 28 cases (43.08%) with severe adhesions diagnosed by ultrasound combined with hysteroscopy. There was no significant difference between the two examinations (P>0.05), Kappa value was 0.801 (P < 0.001). Among the types of uterine adhesions by hysteroscopy, 15 cases (23.08%) were diagnosed as simple cervical adhesions, 33 cases (50.77%) were diagnosed as intrauterine adhesions, 17 cases (26.15%) were diagnosed as mixed adhesions, and 14 cases (21.54%), 30 cases (46.15%) and 18 cases (27.69%) were detected by 3D-TVUS combined with SHG respectively, with no significant difference (P>0.05), Kappa value was 0.900 (P < 0.001).  Conclusion  Ultrasound combined with sonohysterography is suitable for the diagnosis of patients with IUA and has high diagnostic accuracy, which is worthy of clinical popularisation and use.

     

    • FullText(HTML)
  • loading
    • References(21)
  • [1]
    陈思萍, 何援利, 蔡慧华, 等. 雌激素对宫腔粘连纤维化进程及叉头框F2表达的影响[J]. 解放军医学杂志, 2017, 42(4): 326-330. https://www.cnki.com.cn/Article/CJFDTOTAL-JFJY201704012.htm
    [2]
    段华, 甘露. 宫腔粘连诊治的现状与存在问题[J]. 实用妇产科杂志, 2017, 33(10): 721-723. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201710002.htm
    [3]
    韩笑, 黄晓武. 干细胞在子宫内膜损伤后修复的研究进展[J]. 国际妇产科学杂志, 2019, 46(4): 365-369. doi: 10.3969/j.issn.1674-1870.2019.04.001
    [4]
    热国芬, 徐琳. 干细胞用于宫腔粘连的治疗现状及进展[J]. 中国计划生育和妇产科, 2019, 11(8): 7-9, 12. doi: 10.3969/j.issn.1674-4020.2019.08.02
    [5]
    麦慧芬, 龙娜, 孙静, 等. 宫腔粘连诊治的研究进展[J]. 海南医学, 2017, 28(23): 3902-3904. doi: 10.3969/j.issn.1003-6350.2017.23.038
    [6]
    王燕. 宫腔粘连的规范化手术治疗[J]. 实用妇产科杂志, 2017, 33(10): 728-730. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201710005.htm
    [7]
    中华医学会妇产科学分会. 宫腔粘连临床诊疗中国专家共识[J]. 中华妇产科杂志, 2015, 50(12): 881-887. doi: 10.3760/cma.j.issn.0529-567x.2015.12.001
    [8]
    袁瑞, 周柳. 宫腔粘连的分类方法与评价[J]. 实用妇产科杂志, 2017, 33(10): 723-726. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201710003.htm
    [9]
    徐洁, 林丹, 李奕. 宫腔粘连的研究进展[J]. 中国计划生育和妇产科, 2017, 9(8): 18-20, 34. doi: 10.3969/j.issn.1674-4020.2017.08.05
    [10]
    陈坤菊, 史小荣, 代晓琴. 宫腔粘连的预防方法研究进展[J]. 国际妇产科学杂志, 2017, 44(5): 576-580. doi: 10.3969/j.issn.1674-1870.2017.05.022
    [11]
    苏莉, 游兰, 黄洪萍. 子宫内膜息肉宫腔镜切除术后发生宫腔黏连的相关因素分析[J]. 中国医学科学院学报, 2017, 39(6): 812-816. doi: 10.3881/j.issn.1000-503X.2017.06.013
    [12]
    SURGERY A E G. AAGL practice report: Practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy(ESGE)[J]. J Minim Invasive Gynecol, 2017, 14(1): 1-11. doi: 10.1186/s10397-017-1007-3
    [13]
    刘月强, 刘胜群, 吕素平, 等. 超声监测气体栓子在宫腔镜手术中的应用[J]. 临床麻醉学杂志, 2015, 31(1): 88-89. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201501032.htm
    [14]
    黄绍敏, 高金芳, 史丽静, 等. 子宫结合带与宫腔粘连预后的初步研究[J]. 解放军医学杂志, 2016, 41(4): 301-306. https://www.cnki.com.cn/Article/CJFDTOTAL-JFJY201604008.htm
    [15]
    李宏波, 吴文忠, 张玫玫, 等. 经阴道二维及三维超声联合应用对宫腔粘连的诊断价值[J]. 东南国防医药, 2018, 20(1): 41-44. doi: 10.3969/j.issn.1672-271X.2018.01.009
    [16]
    陈正云, 林俊. 影像学在宫腔粘连诊疗中的价值[J]. 实用妇产科杂志, 2017, 33(10): 726-728. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201710004.htm
    [17]
    陈灿明, 王奕芳, 尤沛, 等. 超声检查在宫腔粘连诊断中的价值[J]. 国际生殖健康计划生育杂志, 2016, 35(2): 106-108. https://www.cnki.com.cn/Article/CJFDTOTAL-GWJS201602005.htm
    [18]
    王希, 杨正春, 张晓航, 等. 经阴道三维超声在宫腔粘连中的诊断价值[J]. 重庆医学, 2017, 46(35): 4935-4937. doi: 10.3969/j.issn.1671-8348.2017.35.012
    [19]
    吴静, 蔡传兰, 魏清, 等. 经阴道超声联合宫腔声学造影在宫腔病变中的诊断价值[J]. 安徽医科大学学报, 2014, 49(8): 1154-1156. https://www.cnki.com.cn/Article/CJFDTOTAL-YIKE201408030.htm
    [20]
    崔琪, 张屹辉, 俞红英, 等. 阴道超声联合改良宫腔声学造影诊断宫腔病变的价值[J]. 中国妇幼保健, 2017, 32(24): 6312-6314. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201724088.htm
    [21]
    苟永贤, 赵书平, 杨秋敏, 等. 宫腔声学造影联合经阴道三维超声对宫腔异常不孕症患者宫腔粘连诊断灵敏度及准确性的影响[J]. 中国性科学, 2018, 27(5): 71-74. doi: 10.3969/j.issn.1672-1993.2018.05.020
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (86) PDF downloads(7) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return