Article ; Online: Clinical Effect of Intrauterine 3-Dimensional Ultrasound on the Function of the Intrauterine Cavity of Puerpera With Intrauterine Adhesions and Safety of Pregnancy.
2022 Volume 38, Issue 4, Page(s) 267–271
Abstract: Abstract: This study aimed to analyze the diagnostic value of intrauterine 3-dimensional ultrasound and the functional characteristics of the intrauterine cavity for puerpera with intrauterine adhesions, and to explore the safety of pregnancy after ... ...
Abstract | Abstract: This study aimed to analyze the diagnostic value of intrauterine 3-dimensional ultrasound and the functional characteristics of the intrauterine cavity for puerpera with intrauterine adhesions, and to explore the safety of pregnancy after treatment. A total of 102 puerperas with intrauterine adhesions were randomly selected, and intrauterine 3-dimensional ultrasound and 2-dimensional ultrasound were performed, respectively. Patients were followed up for 3 years to observe the pregnancy outcome and safety. The overall accuracy of diagnosing intrauterine adhesions through intrauterine 3-dimensional ultrasound was significantly higher than that through 2-dimensional ultrasound, and the accuracy of detecting mild intrauterine adhesions was significantly higher than that through 2-dimensional ultrasound, with statistically significant difference ( P < 0.05). There was no significant difference in the accuracy between intrauterine 3-dimensional and 2-dimensional ultrasound in detecting moderate and severe intrauterine adhesions ( P > 0.05). The difference in missed diagnosis and misdiagnosis rates between the 2 methods was statistically significant ( P < 0.05). All patients received hysteroscopic surgery, and 78 cases (76.47%) were naturally fertilized during postoperative follow-up, including 24 cases of mature delivery, 45 cases of cesarean delivery, and 9 cases of spontaneous abortion. The intrauterine 3-dimensional ultrasound examination of the intrauterine cavity will provide intuitive and comprehensive diagnostic information for a parturient with intrauterine adhesion. Its detection accuracy is higher, and the clinical application is noninvasive and safe, which has certain guiding significance for treatment. |
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MeSH term(s) | Female ; Humans ; Pregnancy ; Uterine Diseases ; Tissue Adhesions/diagnostic imaging ; Tissue Adhesions/surgery ; Hysteroscopy/methods ; Uterus/diagnostic imaging ; Pregnancy Outcome |
Language | English |
Publishing date | 2022-04-16 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 645107-x |
ISSN | 1536-0253 ; 0894-8771 |
ISSN (online) | 1536-0253 |
ISSN | 0894-8771 |
DOI | 10.1097/RUQ.0000000000000607 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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