经阴道实时三维超声造影与X线造影评价输卵管通畅性的比较  

A comparative study on transvaginal real-time three-dimention hysterosalpingo-constrast sonography and X-ray hysterosalpingography in assessment of tubal patency

作　　者：张奥华[1] 徐净[1] 黄泽萍[1] 毛永江[1] 张新玲[1] 

机构地区：[1]中山大学附属第三医院超声科,中山大学超声诊断与介入超声研究所,广州市510630

出　　处：《实用医学杂志》2015年第2期204-207,共4页The Journal of Practical Medicine

基　　金：国家自然青年基金资助项目(编号:81201178)

摘　　要：目的:探讨经阴道实时三维超声造影在评价输卵管通畅性中的价值,并与X线碘油造影作对比。方法:对51例女性不孕症患者共100条输卵管进行实时三维超声造影检查,并将结果与X线碘油造影进行对照分析。结果:实时三维超声造影诊断输卵管通畅为53%(53/100),阻塞为47%(47/100);X线碘油造影诊断输卵管通畅为56%(56/100),阻塞为44%(44/100),两组检查结果相比,差异无统计学意义(P=0.508),一致性较好(κ值为0.819)。结论:经阴道实时三维超声造影与X线造影有很高的一致性,值得临床广泛应用。Objective To assess the value of transvaginal real-time three-dimensional hysterosalpingo-contrast sonography （RT 3D-HyCoSy） with Sonovue in the assessment of tubal patency an then compare the result with that of X-ray hysterosalpingography （HSG）. Methods RT 3D-HyCoSy with SonoVue was used to examine 100 fallopian tubes in 52 infertile women, and the results were compared with those of HSG. Results 53% （53/100） fallopian tubes were normal and 47% （47/100） were obstructed on RT 3D-HyCoSy, while 56% （56/100） tubes were normal and 44% （44/100） were obstructed on HSG. There were no statistical differences between the two exmaintion methods （P = 0.508 and P 〉 0.05 for both comparisons）. The consistency of RT 3D-HyCoSy with HSG was better, with a K value of 0.819. Conclusions RT 3D-HyCoSy has high consistency with HSG in the assessment of tubal patency; and it is worth popularizing in the clinical practice.

关 键 词：实时三维 超声造影 X线碘油造影 输卵管 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.6[医药卫生—诊断学]