Objective: To explore the clinical value of transvaginal three-dimensional ultrasound in the diagnosis of intrauterine adhesions.Methods: 300 patients of intrauterine adhesions in our hospital were selected as the experimental group,and 300 normal women in the same period were selected as the control group. Vaginal ultrasound was performed in the mid and late menstrual cycle, and the uterine cavity morphology, endometrial thickness, internal blood flow and echo were recorded. The endometrium 3D data were constructed, and the two groups of vascular blood flow index FI, VFI, VI and uterine cavity volume were compared. Results: In the experimental group, the ultrasonography showed that there were 105 cases of type Ⅰ in the intrauterine cavity with a small number of adhesions, 128 cases of type Ⅱ with multiple membranous adhesions or fibrosis in the uterine cavity, 45 cases of type Ⅲ with narrow uterine cavity adhesions, cervical adhesions existed in the 12 cases ofuterine type Ⅳ. 10 patients did not show intrauterine adhesions. Transvaginal ultrasound diagnosis of intrauterine adhesions accuracy was(290/300) 96.67%. In the experimental group, the endometrial thickness was not uniform, and the shape of three-dimensional irregular uterine cavity, the less blood flow signal and the uneven echogenicity were observed. The morphology of the uterine cavity in the control group was regular, the boundary of the endometrium was clear and echo was homogeneous, the blood flow signal was abundant, the cavity shape is triangular. There were significant differences between the two groups inFI, VFI, VI and uterine volume (P<0.05). The thickness of endometrium in the control group was significantly higher than that in the experimentalgroup (P<0.05).Conclusion: Intrauterine ultrasound in patients with intrauterineadhesions showes decreased volume and blood flow parameters were significantly reduced, clinical transvaginal three-dimensional ultrasound in patients with intrauterine adhesions can give objective evaluation of uterine volume, blood flow changes, it is worth promoting the application. |
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