三维超声定量诊断不同类型子宫发育异常的准确性及应用价值

目的 分析不同类型子宫发育异常以三维超声定量诊断的准确性、应用价值。 方法 以2015年8月~2018年2月本院产前检查为子宫发育异常可疑孕妇120例为研究对象，所有孕妇均先以二维彩超进行初次筛查，后行三维超声定量诊断，以最终确诊结果为金标准，比较二维、三维彩超对不同类型子宫发育异常检出率，分析两种检查方式对敏感性、特异性、准确性临床应用价值。结果 确诊正常14例，异常106例，三维共诊断107例患者，二维检查共诊断出111例；三维检查准确性、敏感性、特异性分别为99.17%、99.07%、100.00%，高于二维84.17%、 89.19%、22.22%，差异有统计学意义（P＜0.05）。结论 临床对子宫发育异常者使用三维超声定量诊断，不同类型疾病诊断准确性高，有较高应用价值。

Accuracy and Application Value of Three-dimensional Ultrasound in Quantitative Diagnosis of Different Types of Uterine Dysplasia

Abstract:Objective To analyze the accuracy and application value of three-dimensional ultrasound quantitative diagnosis of different types of uterine dysplasia.Methods From August 2015 to February 2018,the prenatal examination of the hospital for 120 patients with suspected uterine dysplasia was studied.All pregnant women were first screened with two-dimensional color ultrasound,after three-dimensional ultrasound quantitative diagnosis,the final diagnosis result is the gold standard,compare the detection rate of different types of uterine dysplasia by two-dimensional and three-dimensional color Doppler ultrasound,and analyze the clinical application value of the two examination methods for sensitivity,specificity and accuracy.Results 14 cases were diagnosed as normal, 106 cases were abnormal,107 cases were diagnosed by three-dimensional co-diagnosis,and 111 cases were diagnosed by two-dimensional examination.The accuracy,sensitivity and specificity of the three-dimensional examination were 99.17%,99.07%,and 100.00%,respectively,which were higher than the two-dimensional 84.17%,89.19%,and 22.22%,the difference was statistically significant(P<0.05).Conclusion Clinically,three-dimensional ultrasound quantitative diagnosis is used for uterine dysplasia.Different types of diseases have high diagnostic accuracy and high application value.