| 
							
      					 | 
  					 
  					
    					 | 
   					 
   										
    					| Value of Three-dimensional Ultrasound in the Diagnosis of Intrauterine Lesions and Judgment of Tubal Patency in Infertility Patients | 
  					 
  					  										
						| CHUN Ya, DENG Jie | 
					 
															
						| Baoji Traditional Chinese Medicine Hospital,Baoji Shaanxi 721000 | 
					 
										
						 | 
					 
				 
				
				
					
						
							
								
									
										
											
                        					 
												
													
													    | 
													    	
														 | 
													 
																										
													
														
															
													
													    | 
													     		                            						                            																	    Abstract  【Objective】 To explore the diagnostic value of transvaginal three-dimensional ultrasound (3D-TVS) in uterine cavity lesions and tubal patency in infertile patients. 【Methods】A total of 96 patients with infertility who were diagnosed and treated in our hospital from April 2018 to June 2019 were selected. All patients were examined by 3D-TVS and transvaginal two-dimensional ultrasound (2D-TVS). The diagnostic value of the two ultrasonic examination methods for intrauterine lesions, fallopian tube patency and travel was analyzed. 【Results】 The total detection rate of intrauterine lesions in patients with infertility by 3D-TVS was higher than that by 2D-TVS (P<0.05); The sensitivity of endometrial polyps, endometrial hyperplasia, intrauterine adhesion, endometrial myoma and endometrial carcinoma was higher than that of 2dD-TVS, and the specificity and accuracy of endometrial hyperplasia and intrauterine adhesion were higher than that of 2D-TVS (P<0.05); 3D-TVS was superior to 2D-TVS in judging the course of fallopian tube (P<0.05). 【Conclusion】 3D-TVS has high diagnostic value in intrauterine lesions of infertile patients, and has more advantages in judging the patency and course of fallopian tubes.
																										     | 
														 
														
														
															| 
															    																	Received: 26 November 2021
																	    
															    															    															   	
															    															 | 
														 
														 														
															| 
																
															 | 
														 
																																									    																														 
															 | 
															
																
															 | 
													    	
															 | 
																
															
														 
														
													 
													
												 
												
												
													
																												  
															 [1] 孙小丽,黎玉涵,曾俐琴,等. Myosure宫腔镜组织切除系统在治疗绝经后宫腔内病变的应用[J].现代妇产科进展,2020,29(7):531-533. 
[2] 刘芸,熊雯,陈琴,等.经阴道四维超声造影在女性不孕患者宫腔病变中的应用[J].实用医院临床杂志,2018,15(1):136-138. 
[3] YANG J H,CHEN M J,YANG P K. Factors increasing the detection rate of intrauterine lesions on hysteroscopy in infertile women with sonographically normal uterine cavities[J].J Formos Med Assoc,2019,118(3):488-493. 
[4] 蔡婷婷,舒艳,徐亚芬,等. 宫腔声学造影联合经阴道三维超声检测对宫腔粘连患者的临床意义[J].中国妇幼保健,2021,36(18):4355-4357. 
[5] 王瑜,张少静,唐爱琴,等. 宫内病变、子宫内膜与不孕症的相关性分析[J].河北医药,2020,42(2):292-294. 
[6] 朱辛茹,李宁. 阴道彩色多普勒超声、MRI及宫腔镜在子宫内膜癌诊断及分期中的应用[J].中国CT和MRI杂志,2020,18(1):118-120. 
[7] 李妍,李永青,郭华梅等. 腹部超声与阴道彩超对子宫内膜癌诊断价值比较[J].现代消化及介入诊疗,2019,10(1):1278-1279. 
[8] 苟永贤,赵书平,杨秋敏,等.宫腔声学造影联合经阴道三维超声对宫腔异常不孕症患者宫腔粘连诊断灵敏度及准确性的影响[J]. 中国性科学,2018,27(5):71-74. 
[9] 李萍,王丹,李利琼,等. 经阴道三维超声对子宫宫腔病变的诊断价值分析[J].实用医院临床杂志,2020,17(3):52-55. 
[10] 于子芳. 子宫内膜息肉样病变的三维超声诊断价值[J].中国药物与临床,2019,19(8):1266-1268. 
[11] 宋蕾,王一凡,林冲,等. 经阴道二维超声、三维超声容积成像及能量多普勒超声在宫腔粘连诊断中的联合应用[J].中国临床医学影像杂志,2019,30(5):342-345. 
[12] 李雪凤,闫娅妮,冯艳霞,等.不同宫腔内病变患者子宫内膜厚度、子宫体积、搏动指数、阻力指数比较及经阴道二维、三维超声的诊断价值[J].中国妇幼保健,2017,32(10):2249-2251. 
[13] 马云飞,杨益虎,李宏波,等. 经阴道二维和实时三维超声造影评价输卵管通畅性的价值[J].现代医学,2019,47(8):905-909. 
[14] 樊秋兰,陈霰,于春洋,等. 经阴道三维超声造影对卵巢异位囊肿介入治疗后输卵管通畅性的价值[J].中国超声医学杂志,2020,36(5):455-457. 
[15] 刘真真,韦瑶,邓珊,等. 经阴道实时三维宫腔输卵管超声造影成像技术评估输卵管通畅性的价值[J].生殖医学杂志,2021,30(3):362-366. | 
														 
																																									 
												 
												
													
														
															
																
																																																																																																										
																					| [1] | 
																					. [J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(8): 1254-1256. | 
																				 
																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																 
														 | 
													 
												 
											 
											
											 
											
											 
										 
									 | 
								 
							 
						 | 
					 
				 
			
		 |