Abstract: This study explored the value of color Doppler flow imaging (CDFI) and ultrasound scoring in the diagnosis of intrauterine adhesions. A total of 120 patients with intrauterine adhesions confirmed by hysteroscopy were selected as the adhesion group, and 120 women without intrauterine adhesions were selected as the control group. Both groups received two-dimensional ultrasound and CDFI. The measured values of uterine artery pulsation index (PI), resistance index (RI), vascular index (VI), and blood flow index (FI) in the adhesion group were lower than those in the control group (P<0.05). The ultrasound score of the adhesion group was higher than that of the control group, and the difference was significant (P<0.05). The measured values of PI, RI, VI, and FI of the severe adhesion group were lower than those of the mild and moderate groups (P<0.05). The ultrasound score of the severe adhesion group was higher than the mild and moderate groups (P<0.05). The PI, VI, and FI values of the moderate adhesion group were lower than those of the mild group (P<0.05). The ultrasound score of the moderate adhesion group was higher than that of the mild group (P<0.05). The AUC values of PI, RI, VI, FI, and ultrasound scores for the diagnosis of intrauterine adhesions were 0.684, 0.634, 0.814, 0.671, 0.905, respectively. The AUC of the five combined diagnoses was 0.939. CDFI and ultrasound scores have the advantages of convenience and non-invasiveness in clinical diagnosis of 248 intrauterine adhesions, especially the use of ultrasound scores for diagnosis has high value.

Key words: color Doppler parameters, ultrasound score, intrauterine adhesions