Comparative study of three-dimensional ultrasound and two-dimensional color Doppler ultrasound diagnosis of uterine arteriovenous fistula based on gynecological intravenous contrast-enhanced ultrasound
10.3969/j.issn.1672-8270.2025.07.013
- VernacularTitle:基于妇科静脉超声造影的子宫动静脉瘘三维超声与二维彩色多普勒超声诊断的对比研究
- Author:
Fengjuan WANG
1
;
Xiaoping SUN
1
;
Xianying WANG
1
;
Bo LI
1
Author Information
1. 保定市妇幼保健院超声医学科 保定 071000
- Publication Type:Journal Article
- Keywords:
Uterine arteriovenous fistula(UAVF);
Three dimensional transvaginal ultrasound(3D-TVS);
Two-dimensional color Doppler ultrasound(2D-CDUS);
Contrast enhanced ultrasound(CEUS);
Diagnostic standard
- From:
China Medical Equipment
2025;22(7):66-70,106
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility and effectiveness of 3D ultrasound technique in diagnosing uterine arteriovenous fistula(UAVF),and compare it with two-dimensional color Doppler ultrasound(2D-CDUS).Methods:A total of fifty patients with suspected uterine arteriovenous fistula(UAVF)who received examination in the Department of Ultrasound,Baoding Maternal and Child Health Care Hospital from November 2023 to September 2024 were selected,and they were divided into control group and observation group by the random number table method,with 25 cases in each group.The control group received 2D-CDUS examination,while the observation group received the examination of three-dimensional transvaginal ultrasound(3D-TVS).The results of the ultrasound examinations were recorded,and the diagnostic indicators of the ultrasound examinations were calculated.The result of contrast enhanced ultrasound(CEUS)to conduct comparison and analysis,and the receiver operating characteristic(ROC)curve was adopted to analyze the diagnostic value of the two kinds of diagnostic methods.Results:There were no statistically significant differences in the positive rate and UAVF type after 2D-CDUS,3D-TVS and CEUS examinations between control group and observation group(P>0.05).There were no statistically significant difference in the sensitivity,specificity,accuracy and positive predictive value between the control group with 2D-CDUS examination and the observation group with 3D-TVS examination(P>0.05).The negative predictive value of 3D-TVS was 83.33%,which was higher than that of 2D-CDUS,and the difference was statistically significant(x2=7.481,P<0.05).Conclusion:The 3D-TVS technique shows a favorably negative predictive value in diagnosing UAVF,which can effectively make up for deficiencies of 2D-CDUS.It has the feasibility and effectiveness of clinical diagnosis,and provides a more comprehensive assessment method for early diagnosis for UAVF.
