利用二维超声排除不孕症妇女子宫导管缺损的简易方法。

IF 0.2 4区医学 Q4 Medicine

生殖医学杂志 Pub Date : 2017-03-01

María Angela Pascual, Juan Luis Alcazar, Betlem Graupera, Cristina Pedrero, María Fernandez-Cid, Lourdes Hereter

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引用次数: 0

摘要

目的:比较子宫正常与子宫管化缺陷的子宫横径(UTD)，并评价其在排除子宫管化缺陷中的作用。研究设计:回顾性分析前瞻性收集的一系列选定的原发性或继发性不孕症妇女的资料。为随后的离线分析进行UTD测量和三维体积采集，以识别可能的沟通缺陷。用二维超声测量正常子宫的UTD，并与弓形子宫、深隔子宫和间隔子宫的UTD进行比较。绘制ROC曲线以确定区分正常子宫与异常子宫的最佳UTD截止值。结果:共有421名女性最终接受了评估。结论:测量UTD可能是一种简单实用的方法，可用于排除不孕症妇女子宫管化缺陷。

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本刊更多论文

A Simple Method for Excluding Uterine Canalization Defects Using Two-Dimensional Ultrasound in Infertile Women.

Objective: To compare the uterine transverse diameter (UTD) in women with normal uteri and women with uterine canalization defects as well as to assess its performance for ruling out such defects.

Study design: Retrospective analysis of prospectively collected data in a series of selected women with primary or secondary infertility. Measurement of UTD and 3D volume acquisition for subsequent off-line analysis was performed in order to identify possible canalization defects. UTD of the normal uterus, measured by 2D ultrasound, was compared to that of arcuate, subseptate, and septate uteri. ROC curve was plotted to determine the best UTD cutoff for differentiating normal from abnormal uteri.

Results: A total of 421 women were ultimately evaluated. UTD was significantly larger in women with arcuate (53.3 mm, SD 6.3, p<0.05), subseptate (55.0 mm, SD 6.7, p<0.05), and septate (56.0 mm, SD 4.8, p<0.05) uterus as compared with the normal uterus (45.9 mm, SD 7.1). ROC curve showed that the best UTD cutoff for ruling out the presence of a uterine canalization defect was 45 mm (AUC 0.809, 95% CI 0.768–0.849).

Conclusion: Measurement of UTD may be a simple and practical method for ruling out a uterine canalization defect in infertile women.

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来源期刊

生殖医学杂志医学-妇产科学

自引率

0.00%

发文量

6427

审稿时长

6-12 weeks

期刊介绍： The Journal of Reproductive Medicine® has been the essential tool of Obstetricians and Gynecologists since 1968. As a highly regarded professional journal and the official periodical of six medical associations, JRM® brings timely and relevant information on the latest procedures and advances in the field of reproductive medicine. Published bimonthly, JRM® contains peer-reviewed articles and case reports submitted by top specialists. Common topics include research, clinical practice, and case reports related to general obstetrics and gynecology, infertility, female cancers, gynecologic surgery, contraception, and medical education.