三维子宫输卵管超声造影评估输卵管通畅性:Meta分析  

Three-dimensional hysterosalpingo-contrast sonography in assessment of tubal patency:Meta-analysis

作　　者：梁伟翔[1,2] 罗良平[1] 余江秀[2] 谢亦农[2] 杨大艳[2] 

机构地区：[1]暨南大学附属第一医院医学影像中心,广东广州510632 [2]广州医科大学附属第三医院超声医学科,广东广州510150

出　　处：《中国介入影像与治疗学》2014年第6期373-376,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的采用Meta分析评价三维子宫输卵管超声造影（3DHyCoSy）评价输卵管通畅性的价值。方法检索1994-2013年国内外公开发表的有关3DHyCoSy的中外文文献，按照诊断性试验的纳入和排除标准筛选符合要求的文献，提取纳入研究的相关信息进行Meta分析。结果共纳入11项独立研究，其中3DHyCoSy诊断输卵管通畅性的敏感度范围为0．67～1．00，特异度为0．77～1．00，合并敏感度和特异度分别为0．95（95％CI0．93～0．96）、0．92（95％CI0．89～0．94），合并阳性和阴性似然比分别为9．28（95％CI5．91～14．58）、0．08（95％CI0．05～0．13），SROC曲线下面积为0．98。结论3DHyCoSy用于评价输卵管通畅性具有高度临床价值。Objective To assess the diagnostic value of three-dimensional hysterosalpingo-contrast sonography （3D Hy- CoSy） in evaluation on tubal patency by using Meta analysis. Methods Relevant foreign and Chinese articles about 3D Hy- CoSy in diagnosing tubal patency were collected from literature published from 1994 to 2013. The articles were selected according to inclusion and exclusion criteria of diagnostic test, feature information were extracted, and then Meta analysis was conducted. Results A total of 11 articles were identified. The sensitivity of these articles ranged from 0. 67 to 1, 00, and the specificity ranged from 0.77 to 1.00. The pooled sensitivity and specificity of these articles were 0. 95 （95%CI 0. 93- 0. 96） and 0.92 （95%CI 0.89-0. 94）, respectively. The pooled positive and negative likelihood ratio was 9.28 （95MCI 5.91--4.58） and 0.08 （95 %CI 0.05-0. 1a）, respectively. The area under the curve of summary receiver operating characteristic was 0.98. Conclusion 3D HyCoSy is highly accurate for assessment of tubal pateney.

关 键 词：超声检查 成像 三维 子宫输卵管造影术 META分析 

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