Predictive of 3D-PDU for pregnancy outcome after intrauterine adhesions surgery
10.3969/j.issn.1673-9701.2024.27.008
- VernacularTitle:3D-PDU对宫腔粘连术后妊娠结局的预测
- Author:
Jiping XIE
1
;
Linlin CHEN
;
Guang ZHU
;
Linxi JIN
Author Information
1. 浙江省立同德医院妇科,浙江杭州 310012
- Keywords:
Intrauterine adhesions;
Three-dimensional ultrasound;
Hysteroscopy;
Endometrial blood flow;
Uterine volume;
Pregnancy
- From:
China Modern Doctor
2024;62(27):34-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy of transvaginal three-dimensional power Doppler ultrasound(3D-PDU)in predicting pregnancy outcomes after mild and moderate transcervical resection of adhesion(TCRA).Methods Sixty-six patients with mild and moderate intrauterine adhesions(IUA)who had fertility issues and underwent TCRA surgery in Tongde Hospital of Zhejiang Province from January 2020 to December 2021 were chosen,31 successful pregnancy patients were included in pregnancy group,and 35 unsuccessful pregnancy patients were included in non pregnancy group.3D-PDU examination was performed before and 3 months after surgery.The measurements of endometrial thickness(ED),uterine volume(EV),endometrial vasculogenesis index(VI),blood flow index(FI),and vasculogenesis-blood flow index(VFI)were taken.The pregnancy was followed up for 1 year to observe the prognostic value of the above related indicators on postoperative pregnancy.Results The ED,EV,VI,FI and VFI levels of patients post-operation were significantly higher than those before the operation(P＜0.05),the improvement of pregnant group patients was better than that of non pregnant group patients(P＜0.05),and area under the receiver operating characteristic curve were 0.80,0.84,0.68,0.65 and 0.88 respectively.Conclusion 3D-PDU can effectively predict the postoperative pregnancy outcome of TCRA in patients with mild to moderate IUA by measuring ED,EV,VI,FI,and VFI before and after surgery,providing reference for efficacy evaluation and guiding subsequent treatment.
