经阴道子宫输卵管三维超声造影评价输卵管通畅性  

Three-dimensional Hysterosalpingo-contrast-sonography in the Assessment of Fallopian Tubal Patency

作　　者：王伟群[1] 陈智毅[1] 江岚[1] 何志华[1] 蔡款[1] 邓楠[2] 

机构地区：[1]广州医科大学附属第三医院超声医学科,广东广州510150 [2]广州医科大学附属第三医院泌尿外科,广东广州510150

出　　处：《中国医学影像学杂志》2014年第11期853-855,共3页Chinese Journal of Medical Imaging

基　　金：广州医科大学青年项目(2012A12)

摘　　要：目的探讨经阴道子宫输卵管三维超声造影(3D-CEUS)评价输卵管通畅性的临床应用价值。资料与方法对33例临床诊断不孕症患者采用3D-CEUS评估输卵管通畅性,以腹腔镜下通染液检查作为对照,评价3D-CEUS判断输卵管通畅性的敏感度、特异度、阳性似然比、阴性似然比。结果应用3D-CEUS诊断输卵管通畅20条,通而不畅10条,阻塞36条。腹腔镜通染液检查输卵管通畅23条,通而不畅7条,阻塞36条。3D-CEUS检测输卵管通畅性的总符合率为86.4%(57/66),敏感度为93.0%(40/43),特异度为73.9%(17/23),阳性似然比为7.15,阴性似然比为0.20。结论 3D-CEUS可准确快速地评估输卵管通畅性,值得临床推广应用;但对输卵管阻塞或通而不畅的患者需进一步行腹腔镜检查。Purpose To investigate the clinical value of three-dimensional hysterosalpingo-contrast-sonography （3D-HyCoSy） in the assessment of fallopian tubal patency.Materials and Methods Fallopian tubal patency of 33 infertile women was assessed using transvaginal 3D-HyCoSy, and the results were compared with laparoscopically salpingoraphy, the sensitivity, specificity, positive likelihood ratio and negative likelihood ratio of 3D-HyCoSy were evaluated.Results 3D-HyCoSy showed 20 passable fallopian tubes, 10 partially passable fallopian tubes and 36 obstructed tubes, while lapascopically salpingoraphy showed 23 passable fallopian tubes, 7 partially passable fallopian tubes and 36 obstructed tubes. The total coincidence rate of 3D-HyCoSy to assess the fallopian tubal patency was 86.4% （57/66）, with the sensitivity of 93.0% （40/43）, specificityof 73.9% （17/23）, positive likelihood ratio of 7.15, and negative likelihood ratio of 0.20.Conclusion Tubal patency can be efficiently and accurately assessed using 3D-HyCoSy, but patients with obstructed or partially passable fallopian tubes should undergo laparoscopy to clarify.

关 键 词：不育 女(雌)性 超声检查 多普勒 经阴道 成像 三维 子宫输卵管造影术 造影剂 微泡 输卵管 

分 类 号：R541.7[医药卫生—心血管疾病] R445.1[医药卫生—内科学]