Summary
This study assessed the clinical application of transvaginal three-dimensional ultrasound (3D TVUS) in the diagnosis of congenital uterine malformation. A retrospective study was performed on 62 patients with congenital uterine malformation confirmed hysteroscopically and/or laparoscopically. The patients were subjected to transvaginal two-dimensional ultrasound (2D TVUS) and 3D TVUS. The accuracy rate was compared between the two methods. The accuracy rate of 3D TVUS was (98.38%, 61/62), higher than that of 2D TVUS (80.65%, 50/62). 3D TVUS coronal plane imaging could demonstrate the internal shape of the endometrial cavity and the external contour of the uterine fundus. It allowed accurate measurement on the coronary plane, and could three-dimensionally show the image of cervical tube, thereby providing information for the diagnosis of some complex uterine malformation. 3D TVUS imaging can obtain comprehensive information of the uterus malformation, and it is superior to 2D TVUS for the diagnosis of congenital uterine malformations, especially complex uterine anomaly.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Wu MH, Hsu CC, Huang EK. Detection of congenital müllerian duct anomalies using three-dimensional ultrasound. J Clin Ultrasound, 1997, 25(9):487–492
Jayaprakasan K, Chan YY, Sur S, et al. Prevalence of uterine anomalies and their impact on early pregnancy in women conceiving after assisted reproduction treatment. Ultrasound Obstet Gynecol, 2011, 37(6):727–732
The American Fertility Society classifications of adnexal adhesions, distal tubal obstruction, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions. Fertil Steril, 1988, 49(6):944–955
Ghi T, Casadio P, Kuleva M, et al. Accuracy of three-dimensional ultrasound in diagnosis and classification of congenital uterine anomalies. Fertil Steril, 2009, 92(2):808–813
Golan A, Langer R, Bukovsky I, et al. Congenital anomalies of the müllerian system. Fertil Steril, 1989, 51(5): 747–755
Byrne J, Nussbaum-Blask A, Taylor WS, et al. Prevalence of Mullerian duct anomalies detected at ultrasound. Am J Med Genet, 2000, 94(1):9–12
Makino T, Hara T, Oka C, et al. Survey of 1120 Japanese women with a history of recurrent spontaneous abortions. Eur J Obstet Gynecol Reprod Biol, 1992, 44(2):123–130
Clifford K, Rai R, Watson H, et al. An informative protocol for the investigation of recurrent miscarriage: preliminary experience of 500 consecutive cases. Hum Reprod, 1994, 9(7):1328–1332
Shahzad S. Investigation of the prevalence of female genital tract tuberculosis and its relation to female infertility: An observational analytical study. Iran J Reprod Med, 2012, 10(6):581–588
Ahmadi F, Zafariani F, Haghighi H, et al. Application of 3D ultrasonography in detection of uterine anomalies. Int J Fertil Steril, 2011, 4(4):144–147
Puscheck EE, Cohen L. Congenital malformations of the uterus: the role of ultrasound. Semin Reprod Med, 2008, 26(3):223–231
Saravelos SH, Cocksedge KA, Li TC. Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal. Hum Repro Update, 2008, 14(5):415–429
Niknejadi M, Haghighi H, Ahmadi F, et al. Diagnostic accuracy of transvaginal sonography in the detection of uterine abnormalities in infertile women. Iran J Radiol, 2012, 9(3):139–144
Raga F, Bonilla-Musoles F, Blanes J, et al. Congenital Mullerian anomalies: diagnostic accuracy of three-dimensional ultrasound. Fertil Steril, 1996, 65(3):523–528
Ludwin A, Pityński K, Ludwin I, et al. Two- and three-dimensional ultrasonography and sonohysterography versus hysteroscopy with laparoscopy in the differential diagnosis of septate, bicornuate, and arcuate uteri. J Minim Invasive Gynecol, 2013, 20(1):90–99
Bermejo C, Martínez Ten P, Cantarero R, et al. Three-dimensional ultrasound in the diagnosis of Müllerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol, 2010, 35(5): 593–601
La Torre R, Prosperi Porta R, Franco C, et al. Three-dimensional sonography and hysterosalpingosonography in the diagnosis of uterine anomalies. Clin Exp Obstet Gynecol, 2003, 30(4):190–192
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yu, Ll., Zhang, X., Zhang, T. et al. Detection of congenital uterine malformation by using transvaginal three-dimensional ultrasound. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 34, 782–784 (2014). https://doi.org/10.1007/s11596-014-1352-7
Received:
Revised:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11596-014-1352-7