| 引用本文： |
-
杨清,陈风华,任敏,等.子宫憩室超声量化与经阴道子宫憩室修补术疗效的相关性[J].同济大学学报（医学版）,2023,44(1):52-56. [点击复制]
- YANG Qing,CHEN Fenghua,REN Min,et al.Association between ultrasonographic findings and efficacy of transvaginal uterine diverticulum repair in patients with cesarean section scar diverticulum[J].Journal of Tongji University(Medical Science),2023,44(1):52-56. [点击复制]
|
|
| 摘要: |
| 目的应用经阴道超声检查量化评估剖宫产术后子宫瘢痕憩室（cesarean scar diverticulum, CSD；简称子宫憩室）的声像图特征，探讨CSD的影像参数、临床资料与经阴道子宫憩室修补术后疗效的相关性。方法收集2014年1月—2016年2月224例因CSD导致月经延长并在同济大学附属第一妇婴保健院行经阴道子宫憩室修补术患者的临床资料。回顾性分析患者阴道超声的影像学特征及临床资料。涉及的量化参数为CSD宽度（width, W）、深度（depth, D）、长度(length, L)、残留肌层厚度（residual myometrial thickness, RMT）、残留肌层厚度/深度（RMT/D）、残留肌层厚度/（深度+残留肌层厚度）[RMT/(RMT+D)]及月经史。结果剖宫产次数、子宫位置、CSD长度、深度、宽度均与经阴道修补术的疗效无关（P＞0.05）。残留肌层厚度、RMT/D和RMT/（RMT+D）与经阴道子宫憩室修补术的疗效均相关（P<0.05）。残留肌层厚度的ROC曲线下面积0.580。RMT/（RMT+D）的ROC曲线下面积0.578。结论憩室长度与手术的疗效无关。RMT、RMT/（RMT+D）是判断经阴道子宫憩室修补术疗效的有关指标。 |
| 关键词: 阴道超声 剖宫产术后子宫瘢痕憩室 经阴道子宫憩室修补术 疗效 |
| DOI：10.12289/j.issn.1008-0392.22249 |
| 通信作者: |
| 投稿时间：2022-06-11 |
| 录用日期： |
| 基金项目: |
|
| Association between ultrasonographic findings and efficacy of transvaginal uterine diverticulum repair in patients with cesarean section scar diverticulum |
| YANG Qing,CHEN Fenghua,REN Min,YAO Liping,LV Xiaoli |
| (Department of Ultrasonography, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University， Shanghai 200040, China) |
| Abstract: |
| ObjectiveTo investigate the association between ultrasonographic findings and efficacy of transvaginal uterine diverticulum repair in patients with cesarean section scar diverticulum (CSD). MethodsFrom January 2014 to February 2016, 224 patients with CSD diagnosed by transvaginal ultrasonography(TVS) and treated with transvaginal diverticular repair in Shanghai First Maternity and Infant Hospital, the clinical data of patients were retrospectively analyzed.The association of ultrasound parameters, including the width(W), depth（D）, length（L）, residual myometrial thickness（RMT）, RMT/(RMT+D), and menstrual history with the surgical outcomes was analyzed. ResultsThe number of cesarean section, uterine position,length,depth and width were not related to the efficacy of transvaginal repair（P＞0.05）. RMT, RMT/D and RMT/(RMT+D) were correlated with the efficacy of transvaginal uterine diverticulum repair(P<0.05). The area under ROC curve(AUC) of RMT and RM/(RMT+D) was 0.580 and 0.578, respectively. ConclusionThe ultrasonographic parameters RMT and RMT/(RMT+D) are related to the surgical efficacy of transvaginal repair in patients with CSD. |
| Key words: transvaginal ultrasound cesarean section scar diverticulum transvaginal uterine diverticulum repair effectiveness |
