经阴道二维超声和三维子宫输卵管超声造影评价输卵管通畅性的对比研究  

Comparative study of 2D and 3D hysterosalpingo-contrast-sonograghy in evaluation of tubal patency

作　　者：张迎[1] 程琦[2] 王泓[2] 朱贤胜[2] 凌茵[2] 雷辉燕[2] 王莎莎[2] 

机构地区：[1]南方医科大学,广州市510515 [2]广州军区广州总医院影像科

出　　处：《临床超声医学杂志》2012年第7期440-443,共4页Journal of Clinical Ultrasound in Medicine

基　　金：广东省卫生厅基金资助项目(B2011259)

摘　　要：目的比较经阴道二维超声(2D-HyCoSy)和三维子宫输卵管超声造影(3D-HyCoSy)评价输卵管通畅性的准确性及其临床应用价值。方法对47例不孕症妇女分别采用2D-HyCoSy和3D-HyCoSy评估输卵管通畅性,其中14例行腹腔镜下通染液检查。对比2D-HyCoSy和3D-HyCoSy检测输卵管通畅性的敏感性、特异性、阴性预测值及阳性预测值。结果 2D-HyCoSy评估输卵管通畅性的敏感性、特异性、阴性预测值及阳性预测值分别为69.2%、100%、90.0%及87.5%;3D-HyCoSy的敏感性、特异性、阴性预测值及阳性预测值分别为84.6%、100%、91.6%及100%,两者比较差异无统计学意义。2D-HyCoSy和3D-HyCoSy分别与腹腔镜下通染液检查结果比较,吻合度均较高(K=0.730,K=0.837),差异均有统计学意义(P﹤0.001)。结论 2D-HyCoSy和3D-HyCoSy均可准确、快速地评价输卵管通畅性,3D-HyCoSy对输卵管全程立体空间走行的显示更具优势。Objective To explore the accuracy and clinical application value of two-dimensional hysterosalpingo-contrast sonography （ 2D -HyCoSy） and three-dimensional hysterosalpingo-contrast sonography （ 3 D-HyCoSy） in evaluation of tubal patency. Methods Tubal patency in 47 cases of infertile women was evaluated using 2D-HyCoSy and 3D-HyCoSy. Among them, 14 patients accepted the examination of laparoscopy. The sensitivity, specificity, negative predictive value and positive predictive val- ue of evaluating tubal patency were compared. Results The sensitivity, specificity, negative predictive value and positive pre- dictive value of 2D-HyCoSy were 69.2%, 100%, 90.0% and 87.5%, respectively. The sensitivity, specificity, negative predictive value and positive predictive value of 3D-HyCoSy were 84.6%, 100%, 91.6% and 100%, respectively. There were no significant differences.While there were significant differences compared 2D-HyCoSy and 3I）-HyCoSy with laparoscopy （P 〈 0.001 ）, good- ness of fit were higher （K=0.730, K=0.837）. Conclusion Both 2D-HyCoSy and 3D-HyCoSy can diagnose tubal patency accu- rately and quickly, while 3D-HyCoSy has more advantages in image display.

关 键 词：超声检查 经阴道 子宫输卵管超声造影 三维 不孕症 

分 类 号：R711.76[医药卫生—妇产科学] R445.1[医药卫生—临床医学]