Diagnostic value of three-dimensional ultrasound characteristics and comparison with hysteroscopy in patients with uterine cavity abnormalities
10.3969/j.issn.1005-202X.2025.06.012
- VernacularTitle:宫腔异常病人的宫腔三维超声声像特征及与宫腔镜对比的诊断价值分析
- Author:
Yadong ZHAO
1
;
Binghui CHENG
;
Wensheng WANG
;
Li WANG
;
Xiufen ZHOU
Author Information
1. 安徽医科大学附属六安医院/安徽省六安市人民医院超声医学科,安徽 六安 237000
- Publication Type:Journal Article
- Keywords:
gynecology;
transvaginal three-dimensional ultrasound;
hysteroscopy;
diagnostic value;
ultrasound characteristics
- From:
Chinese Journal of Medical Physics
2025;42(6):791-795
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the transvaginal three-dimensional ultrasound characteristics in women with abnormal uterine cavity and compare the diagnostic value with hysteroscopy.Methods A total of 102 women who underwent transvaginal three-dimensional ultrasound and hysteroscopy in the Department of Ultrasound of Lu'an People's Hospital for various reasons were selected as the research subjects.Hysteroscopy was the gold standard.The three-dimensional ultrasound characteristics of patients with different uterine cavity lesions were statistically analyzed.A 2×2 4-grid table was drawn to calculate the diagnostic value of transvaginal three-dimensional ultrasound for various types of uterine cavity lesions.Results There were 22 cases of endometrial polyps,9 cases of intrauterine adhesions,and 5 cases of submucosal fibroids.The accuracy rates of diagnosing endometrial polyps,intrauterine adhesions and submucosal fibroids through transvaginal three-dimensional ultrasound were 90.91%,88.89%and 80.00%,respectively.The transvaginal three-dimensional ultrasound of patients with endometrial polyps mainly showed deformation of the uterine cavity line,high echoic masses,clear differentiation between the edge of the echogenic mass and the endometrium,almost no deformation of the endometrial basal line,and scattered distribution of blood flow on CDFI ultrasound.Intrauterine adhesions mainly manifested as uneven endometrial thickness and low echogenicity by transvaginal three-dimensional ultrasound,and fluid accumulation may found in the uterine cavity of some patients.Transvaginal three-dimensional ultrasound showed that submucosal fibroids were mainly hypoechoic,elliptical or irregular in shape,with CDFI revealing abundant blood flow signals.Conclusion When women with abnormal uterine cavity are examined with transvaginal three-dimensional ultrasound,patients with different types of lesions have different typical ultrasound characteristics,and transvaginal three-dimensional ultrasound diagnosis has a high diagnostic accuracy with respect to hysteroscopy as the gold standard,exhibiting its advantages of non-invasive and rapid diagnosis,worthy of clinical promotion.
