通讯作者: 陈琳琳, 183897546@qq.com

DOI：10.12201/bmr.202407.00010

Predictive of Three-dimensional Ultrasonography for Pregnancy Outcome after Uterine Adhesion Surgery

• 摘要：目的 探讨经阴道三维能量多普勒超声（Three-dimensional power Doppler ultrasound,3D-PDU）在轻、中度宫腔粘连松解术（Transvaginal resection of adhesion,TCRA）后对妊娠结局的预测价值。方法 选取2020年1月～2021年12月本院收治的有生育要求并行TCRA术的轻、中度宫腔粘连（Intrauterine adhesions，IUA）患者66例，术前、术后3个月分别行3D-PDU检查，记录子宫内膜厚度（Endometrial thickness，ET）、宫腔容积(Uterine volume，EV)、子宫内膜血管形成指数(Vasculogenesis index，VI)、血流指数(Blood flow index，FI)、血管形成-血流指数(Vasculogenesis-blood flow index，VFI)，随访术后12个月妊娠情况，观察上述相关指标对术后妊娠结局的预测价值。结果 66例术后ET、EV、VI、FI、VFI水平较术前均升高（P<0.05）。妊娠组术后ET、EV、VI、FI、VFI水平均高于非妊娠组（P<0.05）。术后ET、EV、VI、FI、VFI预测TCRA术后妊娠的受试者操作特征曲线下面积分别为0.80、0.84、0.68、0.65、0.88。结论 3D-PDU测量轻、中度IUA患者TCRA手术前、后ET、EV、VI、FI、VFI，有助于预测患者术后妊娠结局，为确定后续治疗方案提供依据。

  关键词： 宫腔粘连; 三维超声; 宫腔镜; 子宫内膜血流; 子宫内膜容积; 妊娠

   

  Abstract: Objective To investigate the value of transvaginal three-dimensional energy Doppler ultrasound (3D-PDU) in predicting pregnancy outcomes after mild and moderate uterine adhesion-release (TCRA). Methods Sixty-six patients with mild and moderate intrauterine adhesions (IUA) who had fertility requirements and were treated with TCRA surgery from January 2020 to December 2021 were selected. 3D-PDU examination was performed before and 3 months after surgery. Endometrial thickness (ET), uterine volume (EV), endometrial vasculogenesis index (VI), blood flow index (FI) and vasculogenesis - blood flow index (VFI) were recorded. The pregnancy was followed up for 12 months to observe the prognostic value of the above related indicators on postoperative pregnancy. Results The levels of ET, EV, VI, FI and VFI in 66 patients were increased after operation(P<0.05). The levels of ET, EV, VI, FI and VFI in the pregnant group were higher than those in the non-pregnant group (P<0.05). ET, EV, VI, FI and VFI levels predicted pregnancy after TCRA, and the subjects areas under the working characteristic curves were 0.80, 0.84, 0.68, 0.65 and 0.88, respectively. Conclusions The 3D-PDU test of endometrial thickness, volume and blood flow parameters before and after TCRA surgery in patients with mild and moderate IUA is helpful to predict the postoperative pregnancy outcome of patients and provide a basis for determining the follow-up treatment plan.

  Key words: Intrauterine adhesion; Three-dimensional ultrasound; Hysteroscopy; Endometrial blood flow; Endometrial volume; Pregnancy

  提交时间：2024-07-09

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• 序号	提交日期	编号	操作
  1	2024-06-18	bmr.202407.00010V1	下载

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