超声造影检查输卵管通畅性的临床价值  

The value of SonoVue hysterosalpingo-contrast-sonography in the diagnosis of tubal patency

作　　者：余秀华[1] 钱斌[1] 施红[1] 毛静月[2] 孙国权[2] 李黎[1] 

机构地区：[1]解放军117医院特诊科,浙江杭州310013 [2]解放军117医院妇产科,浙江杭州310013

出　　处：《东南国防医药》2011年第3期247-249,252,共4页Military Medical Journal of Southeast China

摘　　要：目的探讨子宫输卵管超声造影检查(HyCoSy)对输卵管通畅性的诊断价值。方法选择不孕症妇女35例(66条输卵管),采用低机械指数下谐波超声造影技术,宫腔内注入浓度为1 mg/mlSonoVue生理盐水混合液10~15 ml,观察子宫输卵管的灌注过程,其结果与腹腔镜下输卵管通液术进行比较。结果 HyCoSy可以清晰显示造影剂在输卵管的流动路径,评价输卵管通畅的敏感性、特异性和准确性分别为95.5%、86.4%和92.4%,与腹腔镜检查者结果呈高度一致性(Kappa值为0.828),判断阻塞部位的准确性为83.3%。结论子宫输卵管超声造影检查诊断准确性高,安全易行,可作为检查输卵管通畅性的首选方法之一。Objective To explore the diagnostic value of SonoVue hysterosalpingo-contrast-sonography(HyCoSy) in tubal infertility.Methods 35 infertile women(69 fallopian tubes)were examined with low mechanical index HyCoSy using SonoVue.1.0ml(1mg/ml) SonoVue mixed with 10 to 15 ml sterile normal saline was injected into the uterine cavity.The transmission in the fallopian tubes was observed.The results from HyCoSy were compared with that from laparoscopic hydrotubation.Results HyCoSy using SonoVue can display the trace of contrast medium in the fallopian tube more clearly.Compared with laparoscopic hydrotubation,the sensitivity,specificity and accuracy of HyCoSy were 95.5%,86.4% and 92.4% respectively.A high consistency was seen between HyCoSy and laparoscopic hydrotubation(Kappa=0.828).The accuracy of HyCoSy in diagnosis of the tubal occlusive position was 83.3%.Conclusion HyCoSy under SonoVue is a reliable,safe and easy examination,and may be one of the diagnostic examinations selected first.

关 键 词：输卵管 不孕症 超声检查 造影剂 

分 类 号：R9[医药卫生—药学]