广东微量元素科学
廣東微量元素科學
엄동미량원소과학
GUANGDONG TRACE ELEMENTS SCIENCE
2015年
8期
57-60
,共4页
李锐锋%丘焰光%韩咏峰%陈伟娴%刘珊珊%蔡少雨
李銳鋒%丘燄光%韓詠峰%陳偉嫻%劉珊珊%蔡少雨
리예봉%구염광%한영봉%진위한%류산산%채소우
三维超声波%子宫发育异常%临床诊断价值
三維超聲波%子宮髮育異常%臨床診斷價值
삼유초성파%자궁발육이상%림상진단개치
three dimensional ultrasound%abnormal uterine development%clinical diagnostic value
目的：总结分析三维超声波在子宫发育异常诊断中的应用价值。方法选择2010年6月—2012年11月期间广东省佛山市高明区人民医院产科收治的疑似或确诊为子宫发育异常的215例患者为研究对象，均给予阴道三维超声波扫描显示子宫形态及内膜、子宫颈等情况，对比分析各种异常子宫的形态体征，并与二维超声波进行对比，总结分析三维超声诊断子宫发育异常的优势所在，以期为临床诊断提供有效指导。结果215例患者经三维超声波扫描诊断为：单角子宫40例、双角子宫56例、双子宫17例、弓形子宫59例、纵膈子宫43例。超声图像特征：单角子宫型宫腔冠状面图像显示发育一侧的宫角，无残角者正常三角形消失，残角子宫冠状面一侧显示发育不完全的实质性块状。双子宫扫描中盆腔内存在两个子宫影，而且两个子宫均有内膜。双角子宫冠状面可见宫底中央明显凹陷，子宫内膜为蝶翅样。纵膈子宫冠状面超声显示子宫外形基本正常。弓形子宫冠状面超声扫描可见子宫形态基本正常，但宫底肌层变厚、宫腔稍微向下凹陷。结论三维超声波动态扫描成像诊断子宫发育异常具有明显优势，还能对子宫发育异常情况进行分类分型，这对临床制定针对性治疗方案具有重要指导作用，可提高预后，值得推广使用。
目的：總結分析三維超聲波在子宮髮育異常診斷中的應用價值。方法選擇2010年6月—2012年11月期間廣東省彿山市高明區人民醫院產科收治的疑似或確診為子宮髮育異常的215例患者為研究對象，均給予陰道三維超聲波掃描顯示子宮形態及內膜、子宮頸等情況，對比分析各種異常子宮的形態體徵，併與二維超聲波進行對比，總結分析三維超聲診斷子宮髮育異常的優勢所在，以期為臨床診斷提供有效指導。結果215例患者經三維超聲波掃描診斷為：單角子宮40例、雙角子宮56例、雙子宮17例、弓形子宮59例、縱膈子宮43例。超聲圖像特徵：單角子宮型宮腔冠狀麵圖像顯示髮育一側的宮角，無殘角者正常三角形消失，殘角子宮冠狀麵一側顯示髮育不完全的實質性塊狀。雙子宮掃描中盆腔內存在兩箇子宮影，而且兩箇子宮均有內膜。雙角子宮冠狀麵可見宮底中央明顯凹陷，子宮內膜為蝶翅樣。縱膈子宮冠狀麵超聲顯示子宮外形基本正常。弓形子宮冠狀麵超聲掃描可見子宮形態基本正常，但宮底肌層變厚、宮腔稍微嚮下凹陷。結論三維超聲波動態掃描成像診斷子宮髮育異常具有明顯優勢，還能對子宮髮育異常情況進行分類分型，這對臨床製定針對性治療方案具有重要指導作用，可提高預後，值得推廣使用。
목적：총결분석삼유초성파재자궁발육이상진단중적응용개치。방법선택2010년6월—2012년11월기간광동성불산시고명구인민의원산과수치적의사혹학진위자궁발육이상적215례환자위연구대상，균급여음도삼유초성파소묘현시자궁형태급내막、자궁경등정황，대비분석각충이상자궁적형태체정，병여이유초성파진행대비，총결분석삼유초성진단자궁발육이상적우세소재，이기위림상진단제공유효지도。결과215례환자경삼유초성파소묘진단위：단각자궁40례、쌍각자궁56례、쌍자궁17례、궁형자궁59례、종격자궁43례。초성도상특정：단각자궁형궁강관상면도상현시발육일측적궁각，무잔각자정상삼각형소실，잔각자궁관상면일측현시발육불완전적실질성괴상。쌍자궁소묘중분강내존재량개자궁영，이차량개자궁균유내막。쌍각자궁관상면가견궁저중앙명현요함，자궁내막위접시양。종격자궁관상면초성현시자궁외형기본정상。궁형자궁관상면초성소묘가견자궁형태기본정상，단궁저기층변후、궁강초미향하요함。결론삼유초성파동태소묘성상진단자궁발육이상구유명현우세，환능대자궁발육이상정황진행분류분형，저대림상제정침대성치료방안구유중요지도작용，가제고예후，치득추엄사용。
Objective To sum up the application value of three dimensional ultrasound in the diagnosis of uterine abnormalities.Methods Select 2010 to June 2012 in November during our hospital admitted to hospital were suspected or confirmed uterine development of 215 patients with abnormal as the research object, were given transvaginal three -dimensional ultrasound scan display form of the uterus and endometrium, cervix, comparative analysis of all kinds of abnormal uterine morphological signs and with two ultrasonic compared analysis of three dimensional ultrasound in diagnosing uterine development an exceptionaladvantage,inordertoclinicaldiagnosisandprovideeffectiveguidance.Results 215cases were diagnosed as follows: single angle, 40 cases, 56 cases, cases, 17 cases with double uterus, 59 cases with cases of uterus and 43 cases of longitudinal diaphragm.Ultrasound image features: single angle uterine type uterine cavity coronal images show normal development side of the uterine horn, no residual angle triangle disappeared, rudimentary horn of uterus coronary surface side of the display development substantive block incomplete.Double uterus in the pelvic cavity in the presence of two uterine shadow, and two of the uterus are endometrial.Double angle of the uterus can see the central area of the palace, the central area of the uterus is obviously depressed, and the endometrium is the butterfly wing.The uterine shape of the uterus was normal in the coronal plane of the diaphragm.The shape of the uterus is normal, but the thickness of the muscle layer and the uterine cavity is slightly down.Conclusion Three dimensional ultrasound dynamic scanning imaging in the diagnosis of uterine developmental anomalies has obvious advantages, but also on uterine development anomalies were classified type, which the clinical formulation for treatment scheme has an important guiding role, can improve the prognosis, it is worthy to be popularized.
