Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions

Objective The present study aimed to evaluate the diagnostic accuracy of three-dimensional transvaginal ultrasonography (3D-TVS) for intrauterine adhesions (IUA). Methods We performed a retrospective cohort study. A total of 500 women aged 19 to 46 years with uterine lesions who received treatment f...

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Autores principales:	Xinkui Jiang, Xiaofeng Chen, Jiangtao Li, Weiqi Wang, Jing Li
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8e114d631ba5416f8c6cb0cbdad7d6b7
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spelling	oai:doaj.org-article:8e114d631ba5416f8c6cb0cbdad7d6b72021-12-02T03:04:23ZClinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions1473-230010.1177/03000605211024520https://doaj.org/article/8e114d631ba5416f8c6cb0cbdad7d6b72021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211024520https://doaj.org/toc/1473-2300Objective The present study aimed to evaluate the diagnostic accuracy of three-dimensional transvaginal ultrasonography (3D-TVS) for intrauterine adhesions (IUA). Methods We performed a retrospective cohort study. A total of 500 women aged 19 to 46 years with uterine lesions who received treatment from the Department of Obstetrics and Gynecology were enrolled. Endometrial 3D imaging was conducted to obtain the display plane and 3D-TVS parameters. Patients also underwent hysteroscopy for a definitive diagnosis. Results For diagnosing IUA, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy of 3D-TVS were 98.8%, 90.8%, 91.4%, 98.7%, and 94.8%, respectively. For diagnosing a submucosal myoma, the sensitivity, specificity, PPV, NPV, and overall accuracy of 3D-TVS were 88.2%, 97.9%, 88.2%, 97.9%, and 96.4%, respectively. For diagnosing endometrial polyps, the sensitivity, specificity, PPV, NPV, and overall accuracy of 3D-TVS were 94.7%, 96.8%, 92.9%, 97.7%, and 96.2%, respectively. Conclusions Before hysteroscopy, 3D-TVS, as a method of screening, has great value for comparing differences before and after treatment, and for evaluating therapeutic effects.Xinkui JiangXiaofeng ChenJiangtao LiWeiqi WangJing LiSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Xinkui Jiang Xiaofeng Chen Jiangtao Li Weiqi Wang Jing Li Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions
description	Objective The present study aimed to evaluate the diagnostic accuracy of three-dimensional transvaginal ultrasonography (3D-TVS) for intrauterine adhesions (IUA). Methods We performed a retrospective cohort study. A total of 500 women aged 19 to 46 years with uterine lesions who received treatment from the Department of Obstetrics and Gynecology were enrolled. Endometrial 3D imaging was conducted to obtain the display plane and 3D-TVS parameters. Patients also underwent hysteroscopy for a definitive diagnosis. Results For diagnosing IUA, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy of 3D-TVS were 98.8%, 90.8%, 91.4%, 98.7%, and 94.8%, respectively. For diagnosing a submucosal myoma, the sensitivity, specificity, PPV, NPV, and overall accuracy of 3D-TVS were 88.2%, 97.9%, 88.2%, 97.9%, and 96.4%, respectively. For diagnosing endometrial polyps, the sensitivity, specificity, PPV, NPV, and overall accuracy of 3D-TVS were 94.7%, 96.8%, 92.9%, 97.7%, and 96.2%, respectively. Conclusions Before hysteroscopy, 3D-TVS, as a method of screening, has great value for comparing differences before and after treatment, and for evaluating therapeutic effects.
format	article
author	Xinkui Jiang Xiaofeng Chen Jiangtao Li Weiqi Wang Jing Li
author_facet	Xinkui Jiang Xiaofeng Chen Jiangtao Li Weiqi Wang Jing Li
author_sort	Xinkui Jiang
title	Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions
title_short	Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions
title_full	Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions
title_fullStr	Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions
title_full_unstemmed	Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions
title_sort	clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/8e114d631ba5416f8c6cb0cbdad7d6b7
work_keys_str_mv	AT xinkuijiang clinicalapplicationofthreedimensionaltransvaginalultrasonographyinthediagnosisofintrauterineadhesions AT xiaofengchen clinicalapplicationofthreedimensionaltransvaginalultrasonographyinthediagnosisofintrauterineadhesions AT jiangtaoli clinicalapplicationofthreedimensionaltransvaginalultrasonographyinthediagnosisofintrauterineadhesions AT weiqiwang clinicalapplicationofthreedimensionaltransvaginalultrasonographyinthediagnosisofintrauterineadhesions AT jingli clinicalapplicationofthreedimensionaltransvaginalultrasonographyinthediagnosisofintrauterineadhesions
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Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions

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