Omniview检查诊断宫腔粘连的临床应用价值

目的探讨经阴道三维超声自由解剖成像(Omniview)检查诊断宫腔粘连的临床应用价值。方法选取本院收治的86例疑似宫腔粘连患者,全部患者均行Omniview检查与宫腔镜检查,以宫腔镜结果为金标准评价Omniview检查诊断宫腔粘连的效能。结果 Omniview检查诊断宫腔粘连的准确度为88.37%,与宫腔镜结果比较差异显著(P<0.05);Omniview检查诊断不同宫腔粘连程度的特异度、灵敏度、准确度结果如下:中央型粘连:90.00%、96.36%、94.67%,周围型粘连:95.52%、75.00%、93.33%,混合型粘连:93.65%、100.00%、94.67%,Omniview检查诊断不同程度宫腔粘连的总体符合率为94.68%,与宫腔镜结果相符(P>0.05)。结论 Omniview检查在宫腔粘连程度判断中结果可靠,能够有效检出中央型粘连、混合型粘连病例,但在周围型粘连诊断中仍存在局限性。

The Clinical Value of Omniview and Hysteroscopy in the Diagnosis of Intrauterine Adhesions

Objective To investigate the clinical value of transvaginal omniview in the diagnosis of intrauterine adhesions. Methods Eighty-six cases of suspected intrauterine adhesions in our hospital were selected. All patients were examined by omniview and hysteroscopy. The efficacy of omniview in diagnosing intrauterine adhesions was evaluated by hysteroscopic results as the gold standard. Results The specificity, sensitivity, misdiagnosis rate and misdiagnosis rate of omniview in the diagnosis of intrauterine adhesions were 81.82%, 89.33%, 10.67% and 10.67%, respectively. The accuracy of omniview in diagnosing intrauterine adhesions was 88.37%, which was significantly different from that of hysteroscopy(P<0.05). The specificity, sensitivity and accuracy of omniview in the diagnosis of intrauterine adhesions were as follows: central type Adhesion: 90.00%, 96.36%, 94.67%, peripheral adhesion: 95.52%, 75.00%, 93.33%, mixed adhesion: 93.65%, 100.00%, 94.67%. The overall coincidence rate of omniview in the diagnosis of different degrees of intrauterine adhesions was 94.68%, which was consistent with the results of hysteroscopy(P>0.05). Conclusions Omniview examination can provide an important reference for doctors to diagnose intrauterine adhesions, and the results are reliable in judging the degree of intrauterine adhesions. It can effectively detect central adhesions and mixed adhesions, but there are still limitations in the diagnosis of peripheral adhesions.