Value of transvaginal three-dimensional ultrasound in postoperative follow-up of moderate or severe intrauterine adhesion

XU Jing; WU Jun; LAI Huijun

doi:10.19732/j.cnki.2096-6212.2018.06.005

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Value of transvaginal three-dimensional ultrasound in postoperative follow-up of moderate or severe intrauterine adhesion

更新时间：2025-12-15

- Value of transvaginal three-dimensional ultrasound in postoperative follow-up of moderate or severe intrauterine adhesion
- Vol. 27, Issue 6, Pages: 452-456(2018)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6212.2018.06.005
  CLC：
- Published Online：16 January 2019，
  
  Published：16 January 2019
- 稿件说明：
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徐晶,吴隽,赖会君. 经阴道三维超声在中重度宫腔粘连术后随访中的应用价值[J]. 肿瘤影像学, 2018, 27(6): 452-456 https://doi.

org/10.19732/j.cnki.2096-6212.2018.06.005
徐晶,吴隽,赖会君. 经阴道三维超声在中重度宫腔粘连术后随访中的应用价值[J]. 肿瘤影像学, 2018, 27(6): 452-456 https://doi. DOI： 10.19732/j.cnki.2096-6212.2018.06.005.

org/10.19732/j.cnki.2096-6212.2018.06.005 DOI：

摘要

目的：

探讨经阴道三维超声（transvaginal three-dimensional ultrasound，3D-TVS）在宫腔粘连术后随访中的应用价值。

方法：

选取经宫腔镜联合3D-TVS诊断为中、重度宫腔粘连（intrauterine adhesion，IUA）并经宫腔粘连分离术（transcervical resection of adhesion，TCRA）治疗的患者132例，术后3个月行3D-TVS，比较手术前后子宫内膜容积及血流参数的变化，同时行宫腔镜复查，比较两者结果。

结果：

TCRA后组与术前组比较，宫腔容积、血流指数（flow index，FI）及血管血流指数（vascularization flow index，VFI）增加，差异有统计学意义（

0.05），内膜血管指数（vascularization index，VI）虽有所增加，但差异无统计学意义（

0.05）。术后3D-TVS评估复发宫腔粘连的灵敏度为85.0%（51/60），特异度为83.3%（60/72），准确率为84.1%（111/132）。

结论：

3D-TVS便捷有效，评估结果与宫腔镜检查结果一致性较高，可用于术后内膜恢复的评价，手术前后宫腔容积及血流参数的改变可作为辅助诊断的依据。

Abstract

Objective:

To study the application value of transvaginal three-dimensional ultrasound (3D-TVS) in the postoperative follow-up of intrauterine adhesions.

Methods:

A total of 132 patients with moderate or severe intrauterine adhesion were diagnosed by hysteroscopy and 3D-TVS and treated by transcervical resection of adhesion (TCRA). All patients received the examination of 3D-TVS and the results were co

mpared with those of secondary hysteroscopy three months later. Pre- and post operative endometrial volume and blood flow parameters of 3D-TVS were observed and compared.

Results:

The endometrial volume

flow index (FI) and vascularization flow index (VFI) after TCRA were increased compared with those before TCRA (

0.05). Although the vascularization index (VI) was slightly increased after TCRA

the difference was not statistically significant (

0.05).The sensitivity

specificity and accuracy of postoperative 3D-TVS for the diagnosis of intrauterine adhesions were 85.0% (51/60)

83.3% (60/72)

84.1% (111/132)

respectively.

Conclusion:

In accordance with hysteroscopy

3D-TVS is useful to evaluate the endometrial volume and blood flow parameters with convenience and reliable quality.

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