论文部分内容阅读
目的对比不同方法在不全中隔子宫诊断中的应用价值。方法选择2012年5月-2015年5月医院收治的不孕患者120例。分别采用二维阴道超声(2D-TVS)、三维阴道超声(3D-TVS)、输卵管造影术(HSG)检查诊断不全中隔子宫。对比3种检查方法诊断不全中隔子宫的灵敏度、特异度和阳性预测值,阴性预测值。结果宫腔镜检查结果显示120例患者中有不全中隔子宫42例。2D-TVS检查出39例,3D-TVS检查出不全中隔子宫45例,HSG检查出不全中隔子宫33例。诊断价值比较:3D-TVS、2D-TVS及HSG的灵敏度、特异度、阳性预测值和阴性预测值依次降低,差异均有统计学意义(P<0.05)。结论 3D-TVS诊断不全中隔子宫的价值较高,值得临床推广应用。
Objective To compare the value of different methods in the diagnosis of incomplete uterine septum. Methods 120 cases of infertility patients admitted to our hospital from May 2012 to May 2015 were selected. The uterus was diagnosed by 2D-TVS, 3D-TVS and HSG respectively. The sensitivity, specificity, positive predictive value and negative predictive value were compared between the three methods of diagnosis of uterus. Results Hysteroscopy showed that 120 patients had incomplete uterus in 42 cases. 39 cases were detected by 2D-TVS, 45 cases were found by 3D-TVS, and 33 cases were found by HSG. The diagnostic value of 3D-TVS, 2D-TVS and HSG sensitivity, specificity, positive predictive value and negative predictive value decreased in turn, the difference was statistically significant (P <0.05). Conclusion 3D-TVS diagnosis of lower uterine septum value is higher, worthy of clinical application.