Abstract：
OBJECTIVE: This study aimed to assess the practical application of conventional two-dimensional (2D) pelvic ultrasound in conjunction with three-dimensional (3D) ultrasound for evaluating obstructive Müllerian abnormalities.
METHODS: Respective study in tertiary referral hospital METHOD: Computerized stored data was used to collect surgical confirmed obstructive Müllerian anomalies cases between December 2022 and October 2023 with presurgical imagings being evaluated. Acute presentation with abdominal pain and clinical suspicion of obstructive Müllerian abnormality were required for inclusion. All study participants underwent pelvic ultrasound prior to the definitive surgery, with or without a repeat MRI if one was performed previous to admission. Those situations where both MRI and ultrasound were not conducted were excluded, such as the transverse vaginal septum, imperforate hymen, iatrogenic cervical injury or Müllerian malformation alone without obstructive outflow anomalies like didelphys, bicornuate, or septate uterus.
METHODS: The concordance between the surgically confirmed diagnosis and the pelvic ultrasound was reported in 27 of 29 women (93.1%). In contrast, only 24 of 29 cases were correctly diagnosed with MRI in this study (82.8%). This pilot study presents a comparison of two techniques, with a specific focus on obstructive Müllerian anomalies. The use of pelvic ultrasound not only assisted in our surgical practice but also significantly improved patient-doctor counseling.
CONCLUSIONS: In managing obstructive Müllerian abnormalities, 3D-enhanced conventional pelvic ultrasound was found effective in diagnosis and was comparable to MRI.
METHODS: Respective study in tertiary referral hospital METHOD: Computerized stored data was used to collect surgical confirmed obstructive Müllerian anomalies cases between December 2022 and October 2023 with presurgical imagings being evaluated. Acute presentation with abdominal pain and clinical suspicion of obstructive Müllerian abnormality were required for inclusion. All study participants underwent pelvic ultrasound prior to the definitive surgery, with or without a repeat MRI if one was performed previous to admission. Those situations where both MRI and ultrasound were not conducted were excluded, such as the transverse vaginal septum, imperforate hymen, iatrogenic cervical injury or Müllerian malformation alone without obstructive outflow anomalies like didelphys, bicornuate, or septate uterus.
METHODS: The concordance between the surgically confirmed diagnosis and the pelvic ultrasound was reported in 27 of 29 women (93.1%). In contrast, only 24 of 29 cases were correctly diagnosed with MRI in this study (82.8%). This pilot study presents a comparison of two techniques, with a specific focus on obstructive Müllerian anomalies. The use of pelvic ultrasound not only assisted in our surgical practice but also significantly improved patient-doctor counseling.
CONCLUSIONS: In managing obstructive Müllerian abnormalities, 3D-enhanced conventional pelvic ultrasound was found effective in diagnosis and was comparable to MRI.
摘要：
目的：本研究旨在评估常规二维（2D）盆腔超声与三维（3D）超声结合在评估梗阻性穆勒异常中的实际应用。
方法：三级转诊医院的相关研究方法：使用计算机存储的数据收集2022年12月至2023年10月之间手术证实的梗阻性穆勒异常病例，并评估术前影像。需要急性出现腹痛和临床怀疑梗阻性苗勒管异常。所有研究参与者在确定性手术前都接受了盆腔超声检查，如果在入院前进行了MRI，则有或没有重复MRI。排除MRI和超声均未进行的情况，比如阴道横隔，无孔处女膜,仅有医源性宫颈损伤或穆勒畸形，没有阻塞性流出异常，如didelphys，bicornuate,或纵隔子宫。
方法：29例女性中有27例（93.1％）经手术证实的诊断与盆腔超声检查结果一致。相比之下,在这项研究中，29例中只有24例通过MRI正确诊断（82.8％）。这项试点研究对两种技术进行了比较，特别关注阻塞性穆勒异常。盆腔超声的使用不仅有助于我们的外科手术实践，而且还显着改善了患者-医生咨询。
结论：在处理梗阻性穆勒异常时，发现3D增强的常规盆腔超声可有效诊断，并且与MRI相当。
方法：三级转诊医院的相关研究方法：使用计算机存储的数据收集2022年12月至2023年10月之间手术证实的梗阻性穆勒异常病例，并评估术前影像。需要急性出现腹痛和临床怀疑梗阻性苗勒管异常。所有研究参与者在确定性手术前都接受了盆腔超声检查，如果在入院前进行了MRI，则有或没有重复MRI。排除MRI和超声均未进行的情况，比如阴道横隔，无孔处女膜,仅有医源性宫颈损伤或穆勒畸形，没有阻塞性流出异常，如didelphys，bicornuate,或纵隔子宫。
方法：29例女性中有27例（93.1％）经手术证实的诊断与盆腔超声检查结果一致。相比之下,在这项研究中，29例中只有24例通过MRI正确诊断（82.8％）。这项试点研究对两种技术进行了比较，特别关注阻塞性穆勒异常。盆腔超声的使用不仅有助于我们的外科手术实践，而且还显着改善了患者-医生咨询。
结论：在处理梗阻性穆勒异常时，发现3D增强的常规盆腔超声可有效诊断，并且与MRI相当。
