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The Value of Three-dimensional Transvaginal Sonography in the Diagnosis of Uterine Cavity Disease

Zhao Yue-ming

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Abstract

Objective To investigate the clinical value of three-dimensional transvaginal sonography(3D-TVS) in the diagnosis of Uterine cavity disease.Methods 56 patients with uterine cavity disease were examined by 3D-TVS and compared with the results of hysteroscopy and pathology.The consistency of 3D-TVS and hysteroscopy and pathology were analyzed by Kappa test.Results Pathological diagnosis showed 25 cases were endometrial polyps,15 cases were submucous myoma,11 cases were endometrial hyperplasia and 5 cases were endometrial cancer.In the diagnosis of Endometrial polyps,submucous myoma and endometrial hyperplasia,the consistency test Kappa values were 0.856,0.909 and 0.887 for 3D-TVS and hysteroscopy,and 0.748,0.818 and 0.774 for 3D-TVS and pathology.Conclusion 3D-TVS have good consistency with hysteroscopy and pathology and have higher clinical value in the diagnosis of uterine cavity disease.

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What this paper is about

Objective To investigate the clinical value of three-dimensional transvaginal sonography(3D-TVS) in the diagnosis of Uterine cavity disease.Methods 56 patients with uterine cavity disease were examined by 3D-TVS and compared with the results of hysteroscopy and pathology.The consistency of 3D-TVS and hysteroscopy and pathology were analyzed by Kappa test.Results Pathological diagnosis showed 25 cases were endometrial polyps,15 cases were submucous myoma,11 cases were endometrial hyperplasia and 5 cases were endometrial cancer.In the diagnosis of Endometrial polyps,submucous myoma and endometrial hyperplasia,the consistency test Kappa values were 0.856,0.909 and 0.887 for 3D-TVS and hysteroscopy,and 0.748,0.818 and 0.774 for 3D-TVS and pathology.Conclusion 3D-TVS have good consistency with hysteroscopy and pathology and have higher clinical value in the diagnosis of uterine cavity disease.

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Available abstract

Objective To investigate the clinical value of three-dimensional transvaginal sonography(3D-TVS) in the diagnosis of Uterine cavity disease.Methods 56 patients with uterine cavity disease were examined by 3D-TVS and compared with the results of hysteroscopy and pathology.The consistency of 3D-TVS and hysteroscopy and pathology were analyzed by Kappa test.Results Pathological diagnosis showed 25 cases were endometrial polyps,15 cases were submucous myoma,11 cases were endometrial hyperplasia and 5 cases were endometrial cancer.In the diagnosis of Endometrial polyps,submucous myoma and endometrial hyperplasia,the consistency test Kappa values were 0.856,0.909 and 0.887 for 3D-TVS and hysteroscopy,and 0.748,0.818 and 0.774 for 3D-TVS and pathology.Conclusion 3D-TVS have good consistency with hysteroscopy and pathology and have higher clinical value in the diagnosis of uterine cavity disease.

Key concepts: Hysteroscopy, Medicine, Uterine cavity, Myoma, Endometrial Polyp, Endometrial cancer, Endometrial hyperplasia, Radiology

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