不全纵隔子宫与弓形子宫的三维超声鉴别诊断

焦阳;范海波;林琪;罗慧;石秋玲;熊奕【期刊名称】《临床超声医学杂志》【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.%目的探讨不全纵隔子宫与弓形子宫的三维超声鉴别特点方法对宫、腹腔镜确诊为不全纵隔子宫和弓形子宫的各50例患者行二维及三维超声多平面成像，分析二者的声像图特点及鉴别要点.结果二维超声显示42例不全纵隔子宫患者双侧宫腔间见肌层分隔低回声,38例弓形子宫患者宫底部内膜显示不连续,宫底部中央区增厚的肌层向宫腔突出.三维超声显示50例不全纵隔子宫患者可见两侧内膜在子宫下部相互融合，呈“Y”形，夹角深度〉10mm,两侧内膜夹角v90°;50例弓状子宫患者宫底处内膜呈浅“V”形，夹角深度v10mm,两侧内膜夹角〉90°.二维超声诊断不全纵隔子宫和弓形子宫的符合率分别为84%和76%,三维超声诊断不全纵隔子宫和弓形子宫的符合率均为100%,二者比较差异有统计学意义(Pv0.05).结论三维超声冠状面可清晰显示子宫宫腔结构和外观形态，并可直观显示不全纵隔子宫和弓形子宫的纵隔长度及两侧内膜夹角，对二者的诊断较二维超声更具优势.【总页数】4页(P682-685)【作者】焦阳;范海波;林琪;罗慧;石秋玲;熊奕【作者单位】518020深圳市,深圳暨南大学第二临床学院深圳市人民医院超声科【正文语种】中文【中图分类】R711.1;R445.1【相关文献】不全纵隔子宫和弓形子宫三维超声成像及妊娠结局的追踪分析［几乞艳华；王文娟;邬晋芳;周琦;郑转梅;雷小莹经阴道三维超声在不全纵隔子宫和弓形子