毕美娥 陶晓晶

【摘 要】目的：研究分析经阴道三维超声对子宫宫腔病变的诊断价值。方法：以回顾性分析法，选择2019年4月至2021年5月期间入院就诊治疗的100例子宫宫腔病变患者，收集患者临床资料，分别实施经阴道二维超声检查、经阴道三维超声检查，将病理学检查诊断结果作为诊断评价的金标准，观察比较经阴道二维、三维超声检查在子宫宫腔病变的诊断情况。结果：和经阴道二维超声检查比较，经阴道三维超声检查诊断准确率高，差异明显（P<0.05）。结论：在子宫宫腔病变的临床检查诊断中实施经阴道三维超声，结果准确性高，临床中值得推广应用。

【关键词】子宫宫腔病变；三维超声；二维超声；阴道

Analysis of diagnostic value of transvaginal three-dimensional ultrasound on uterine cavity lesions

Bi Meie， Tao Xiaojing

Weihai Municipal Hospital Affiliated to Shandong University， Shandong Weihai 264200， China

【Abstract】Objective：To analyze the diagnostic value of transvaginal three-dimensional ultrasound on uterine cavity lesions.Methods：By retrospective analysis，100 patients with uterine cavity lesions who were admitted from April 2019 to May 2021 were selected， the clinical data of patients were collected， transvaginal two-dimensional ultrasound and transvaginal three-dimensional ultrasound examination，pathological examination diagnosis results as the gold standard for diagnostic evaluation，the diagnosis of transvaginal two-dimensional ultrasound and transvaginal three-dimensional ultrasound in uterine cavity lesions were observed and compared.Results：Compared with transvaginal twodimensional ultrasound examination， transvaginal three-dimensional ultrasound had higher diagnostic accuracy and with obvious difference（P<0.05）.Conclusion：Transvaginal three-dimensional ultrasound is performed in clinical diagnosis of uterine cavity lesions and is worth of application in clinical practice.

【Key？Words】Uterine cavity lesions； Three-dimensional ultrasound； Two-dimensional ultrasound； Vagina

常見的子宫宫腔内病变包含有子宫内膜癌、子宫内膜息肉、子宫内膜增生症、子宫黏膜下肌瘤、子宫纵膈以及节育器移位等[1]。通常情况，对于疑似有子宫宫腔病变患者一般事先采取经阴道二维超声检查，若经检查还有疑问则进一步实施宫腔镜检查，宫腔镜虽然属于微创，但是依旧是侵入性检查，存在很多禁忌症。再加上患者处在感染期间，有子宫穿孔以及血管迷走神经综合征等风险，故局限性较大，再加上宫腔镜检查对于操作器械、操作人员的要求也比较高，费用较高，故一般在门诊初期筛查中不建议使用[2]。本次研究选择了100例子宫宫腔病变患者作为研究对象，就经阴道三维超声检查情况进行报道分析。

1 资料和方法

1.1 基本资料

纳入本次试验的研究病例均是通过病理学检查证实的子宫宫腔病变患者，总计病例数为100例。年龄25岁～71岁，平均年龄（52.12±6.23）岁。……