三维子宫输卵管造影对输卵管通畅性的诊断价值  

The Diagnosis Value of Three- Dimensional Hysterosalpingography in Tubal Patency

作　　者：佘颖[1] 薛敏[1] 王玥[1] 张雁[1] 曲侠[1] 张蒂荣[1] 

机构地区：[1]北京大学深圳医院超声科,广东深圳518036

出　　处：《河北医学》2015年第2期231-234,共4页Hebei Medicine

基　　金：2011年广东省深圳市科技计划项目;(编号:201103030)

摘　　要：目的:对比研究二维子宫输卵管超声造影(2D-Hy Co Sy)和三维子宫输卵管超声造影(3D-Hy Co Sy)技术在输卵管通畅性诊断方面的临床应用价值。方法:选取不孕患者53例(106条输卵管),先对其行三维子宫输卵管超声造影,再行二维子宫输卵管超声造影,比较2D-Hy Co Sy(对照组)、3D-Hy Co Sy(观察组)及腹腔镜下美蓝通染液试验CLP诊断输卵管通畅情况和2D-Hy Co Sy和3D-HyCo Sy诊断技术对输卵管是否通畅的诊断效果。结果:应用3D-Hy Co Sy技术,对输卵管通畅的诊出率为90条,输卵管部分通畅10条,输卵管阻塞6条;2D-Hy Co Sy诊断出输卵管通畅55条,输卵管部分通畅24条,输卵管阻塞27条;CLP诊断出输卵管通畅61条,输卵管部分通畅25条,输卵管阻塞20条,三者存在显著性差异,具有统计学意义(P<0.05)。2D-Hy Co Sy与3D-Hy Co Sy在输卵管通畅与否的诊断结果比较中可知,两组存在显著性差异,具有统计学意义(P<0.05)。结论:相比于二维子宫输卵管超声造影,三维子宫输卵管超声造影的诊断价值更高,是诊断输卵管通畅性以寻求不孕原因的最佳方法,具有广阔的应用前景。Objective：To compare the different vaule of two-dimensional ultrasound contrast hysterosal-pingography（2D-HyCoSy） and three-dimensional ultrasound contrast hysterosalpingography （3D-HyCoSy） for the diagnosis of tubal patency. Method：Choose 53 cases infertile （106 fallopian tubes）,at fisrt, imple-menting three-dimensional ultrasound contrast hysterosalpingography,and then implementing two - dimen-sional ultrasound contrast hysterosalpingography, and then compared the situation of 2D-HyCoSy, 3D-Hy-CoSy and laparoscopic methylene blue dye test pass CLP in the diagnosis of tubal patency and 2D-HyCoSy with 3D-HyCoSy in the diagnosis of tubal patency diagnostic value. Result： Application of 3D-HyCoSy technology, tubal patency rate of 90 cases diagnosed, 10 cases of tubal patency part, 6 cases of tubal ob-struction;2D-HyCoSy diagnosis of tubal patency in 55 cases, 24 cases of tubal patency part, blocked fallo-pian tubes 27 cases;CLP diagnosis of tubal patency in 61 cases, partial tubal patency in 25 cases, 20 cases of tubal obstruction, there was significant difference in the three （ P〈0.05） . 2D-HyCoSy with 3D-HyCoSy in the diagnosis of tubal patency or not the comparison shows that significant differences exist two groups, with statistical significance （P〈0.05）. Conclusion： Compare to the two-dimensional ultrasound contrast hysterosalpingography,the diagnostic value of three-dimensional ultrasound contrast hysterosalpingography is higher in the diagnosis of tubal patency,it is the best way to seek the causes of infertility, and has broad ap-plication prospects.

关 键 词：三维子宫输卵管造影 二维子宫输卵管超声造影 输卵管通畅情况 诊断价值 

分 类 号：R711.6[医药卫生—妇产科学]