不全縱隔子宮與弓形子宮的三維超聲鑒別診斷

焦陽;范海波;林琪;羅慧;石秋玲;熊奕【期刊名稱】《臨床超聲醫(yī)學(xué)雜志》【年(卷)，期】2012(14)10【摘要】ObjectiveToevaluatetheroleofthree-dimensional(3D)ultrasonographyinthedifferentialdiagnosisnfincompleteseperateuterusandarcuateuterus.MethodsFiftycasesofincompleteseperateuterusand50casesofarcuateuterusdiagnosedbyhysteroscopyandlaparoscopewereexaminedbytwo-dimensional(2D)and3Dultrasonography.Theirultrasonograhphiccharacteristicsandthedifferentiatepointsbetweenthemwereanalyzed.ResultsThehypoechoicmuscularisseparationbetweenthebilateraluterinecavitieswasshownby2Dultrasonographyin42casesofincompleteseperateuterus.Endometriumdiscontinuitywasfoundinthefundusofarcuateuterusin38casesastheincrassatemuscularisincentralregionprotrudedtowardtheuterinecavity.Itwasshownthattheendometiumfusedatthelowerpartofincompleteseperateuterusinall50casesby3Dultrasonography.ltappearedas"Y"shape.Theincludedangledepthexceeded10mmandtheincludedanglewassmallerthan90°.Theendometriuminthefundusofarcuateuterusappearedas"V"shapeinall50cases.Theincludedangledepthwassmallerthan10mmandtheincludedangleexceeded90°.Thediagnosticaccordanceratesofincompleteseperateuterusandarcuateuteruswere84%and76%by2Dultrasonographywhiletheywere100%by3Dultrasonography,whichwasstatisticallysignificant(P<0.05).ConclusionThree-dimensionalultrasonographycaneasilydisplaythestructureofuterinecavityandtheappearancemorphologyofuterus,intuitivelyshowthedistancebetweenendometriumandfundusofuterusandassesstheincludedanglebetweenbilateralendometrium.ltissuperiorto2Dultrasonographyinihedifferentialdiagnosisofincompleteseperateuterusandarcuateuterus.%目的探討不全縱隔子宮與弓形子宮的三維超聲鑒別特點方法對宮、腹腔鏡確診為不全縱隔子宮和弓形子宮的各50例患者行二維及三維超聲多平面成像，分析二者的聲像圖特點及鑒別要點.結(jié)果二維超聲顯示42例不全縱隔子宮患者雙側(cè)宮腔間見肌層分隔低回聲,38例弓形子宮患者宮底部內(nèi)膜顯示不連續(xù),宮底部中央?yún)^(qū)增厚的肌層向?qū)m腔突出.三維超聲顯示50例不全縱隔子宮患者可見兩側(cè)內(nèi)膜在子宮下部相互融合，呈“Y”形，夾角深度〉10mm,兩側(cè)內(nèi)膜夾角v90°;50例弓狀子宮患者宮底處內(nèi)膜呈淺“V”形，夾角深度v10mm,兩側(cè)內(nèi)膜夾角〉90°.二維超聲診斷不全縱隔子宮和弓形子宮的符合率分別為84%和76%,三維超聲診斷不全縱隔子宮和弓形子宮的符合率均為100%,二者比較差異有統(tǒng)計學(xué)意義(Pv0.05).結(jié)論三維超聲冠狀面可清晰顯示子宮宮腔結(jié)構(gòu)和外觀形態(tài)，并可直觀顯示不全縱隔子宮和弓形子宮的縱隔長度及兩側(cè)內(nèi)膜夾角，對二者的診斷較二維超聲更具優(yōu)勢.【總頁數(shù)】4頁(P682-685)【作者】焦陽;范海波;林琪;羅慧;石秋玲;熊奕【作者單位】518020深圳市,深圳暨南大學(xué)第二臨床學(xué)院深圳市人民醫(yī)院超聲科【正文語種】中文【中圖分類】R711.1;R445.1【相關(guān)文獻】不全縱隔子宮和弓形子宮三維超聲成像及妊娠結(jié)局的追蹤分析［幾乞艷華；王文娟;鄔晉芳;周琦;鄭轉(zhuǎn)梅;雷小瑩經(jīng)陰道三維超聲在不全縱隔子宮和弓形子