Author(s): MA Yun-fei, YIN Li-ping, ZHANG Mei-mei, QIANG Ye, Department of Ultrasound, Jiangsu Provincial Hospital of TCM, Affiliated Hospital of Nanjing University of TCM
Pages: 39-43
Year: 2016 Issue:  1
Journal: Biomedical Engineering and Clinical Medicine
Keyword:  three-dimensional transvaginal ultrasonography; two-dimensional transvaginal ultrasonography; uterine deformity;
Abstract: Objective To study superiority of real-time three-dimensional transvaginal ultrasonography in diagnosing uterine congenital malformations. Methods A total of 130 patients(aged 26-42 years old with mean age of 33 years old) were enrolled.The unicornuate uterus and/or rudimentary horn of uterus were diagnosed by hysteroscopy and/or laparoscopy,double uterus,bicornuate uterus and arcuate uterus were diagnosed by MRI. Mediastinal uterus were diagnosed by hysteroscopy. All of two-dimensional or three-dimensional transvaginal ultrasonography images were analyzed. Results By three-dimensional transvaginal ultrasonography,11 cases were unicornuate uterus and/or rudimentary horn of uterus,6 of double uterus,7 of bicornuate uterus,80 of mediastinal uterus and 25 of arcuate uterus. By two-dimensional transvaginal ultrasonography,5 cases were unicornuate uterus and/or rudimentary horn of uterus,6 of double uterus,6 of bicornuate uterus,73 of mediastinal uterus and 5 of arcuate uterus. The diagnose accordance rate by three-dimensional transvaginal ultrasonography(99.23 %) was significant higher than that of two-dimensional transvaginal ultrasonography(73.08 %). Both of them existed statistical significant difference(P<0.005).Conclusion It is demonstrated that three-dimensional transvaginal ultrasonography could display different morphology of uterine malformation and fundus structure,which is one of the non-invasive and reliable method in diagnosing congenital uterine malformations.