体外受精-胚胎移植失败的不孕症患者中腔内实时三维超声的检查  

Value of real-time three-dimensional intraluminal ultrasound in infertile patients failing in IVF-ET

作　　者：李洁[1] 张红彬[1] 樊慧[1] 刘冰[1] 程一珊[1] 李亚敏[1] 

机构地区：[1]郑州大学第三附属医院超声科,河南郑州450052

出　　处：《中国妇幼保健》2014年第13期2047-2049,共3页Maternal and Child Health Care of China

基　　金：河南省教育厅科学技术重点研究项目〔14A320025〕

摘　　要：目的:探讨腔内实时三维超声在体外受精-胚胎移植(IVF-ET)失败的不孕症检查中的临床应用价值。方法:回顾性分析行IVF-ET失败的121例患者宫腔镜及腔内实时三维超声检查资料。结果:121例患者中腔内实时三维超声检查符合率约98.3%(119/121),宫腔镜检查诊断符合率约90.9%(110/121),两者之间差异有统计学意义(P<0.05),其中在宫腔粘连、宫腔粘连合并子宫畸形诊断中两种方法之间差异有统计学意义(P<0.05)。结论:腔内实时三维超声检查诊断符合率较高且符合卫生经济学要求,在女性不孕症患者的诊疗过程中值得普及和推广。Objective： To explore the clinical application value of real- time three- dimensional intraluminal ultrasound in infer- tile patients failing in in vitro fertilization- embryo transfer （IVF -ET） . Methods： The data of hysteroscopy and real -time three -di- mensional intraluminal ultrasound in 121 patients failing in IVF -ET were analyzed retrospectively. Results： The diagnostic coincidence rate of real - time three - dimensional intraluminal ultrasound was 98.3% （ 119/121 ）, while the diagnostic coincidence rate of hysteroscopy was 90. 9% （110/12）, there was statistically significant difference between the two methods （P 〈 0. 05 ）; there was statistically significant difference in the diagnostic coincidence rates of intrauterine adhesion, intrauterine adhesion combined with uterine anomaly between the two methods （ P 〈 0. 05 ） . Conclusion： The diagnostic coincidence rate of real - time three - dimensional intraluminal ultrasound is relatively high and it meets the requirements of health economics, which is worthy to be popularized and promoted in the course of diagnosis and treat- ment of female infertile patients.

关 键 词：腔内实时三维超声检查 体外受精-胚胎移植 不孕症 

分 类 号：R711.6[医药卫生—妇产科学]