经阴道实时三维超声成像对输卵管源性不孕症的诊断研究  

Study on diagnosis of transvaginal real-time 3D ultrasound imaging of fallopian tube infertility

作　　者：杨小花[1] 曾雪玲[1] 唐莉[1] 卢静[1] 

机构地区：[1]广东省茂名市妇幼保健院,525000

出　　处：《齐齐哈尔医学院学报》2015年第16期2395-2396,共2页Journal of Qiqihar Medical University

摘　　要：目的观察经阴道实时三维超声成像对输卵管源性不孕症的诊断价值。方法应用经阴道实时三维超声成像(3D-Hy Co Sy)对我院30例不孕患者(59条输卵管)进行检查,诊断输卵管的通畅性和盆腔黏连情况,并以腹腔镜通液术(LSC)的检查结果作比较,评价3D-Hy Co Sy对输卵管源性不孕症的诊断价值。结果 3D-Hy Co Sy检查输卵管通畅性的结果与LSC检查结果比较,诊断符合率为91.7%,具有较好的一致性(Kappa值=0.716,P<0.05)。30例患者3D-Hy Co Sy检查出疑似盆腔粘连5例,而LSC则检查出24例,检出率仅为20.8%。术中1例患者出现恶心、呕吐症状,3例腹痛、腹胀明显,其余患者无或仅轻微胀痛,检查完成后均自行缓解。结论 3D-Hy Co Sy可清晰、直观、全面地显示输卵管的空间走形,安全、简便、易行,在诊断输卵管通畅性方面具有一定的价值。Objective To observe the diagnostic value of transvaginal three-dimensional real-time ultrasound imaging of tubal infertility . Methods Application of transvaginal three-dimensional real-time ultrasound imaging （3D-HyCoSy） in our hospital, 30 cases of infertility patients （59 fallopian tubes） for examination, diagnosis of fallopian tube patency and pelvic adhesions , and laparoscopy hydrotubation （ LSC） to compare the examination results , and evaluate the value of 3D-HyCoSy for diagnosis of tubal infertility .Results Comparison of 3D-HyCoSy to check the fallopian tube patency results with the results of LSC examination , the diagnostic accordance rate was 91.7%, with good consistency （ Kappa =0.716, P 〈0.05 ）.3D-HyCoSy examination of 30 patients suspected of pelvic adhesion in 5 cases, and the LSC check out the 24cases, the detection rate of only 20.8%.During the operation 1 patients had symptoms of nausea and vomiting , abdominal pain, abdominal distension was 3 cases, the rest of patients with no or only mild pain , after the completion of the examination were relieved.Conclusions 3D-HyCoSy can clearly, intuitively, comprehensively display space shape of the fallopian tube , safe, simple, easy to operate, in the diagnosis of fallopian tube patency aspect has certain value .

关 键 词：实时三维超声成像 输卵管 腹腔镜 不孕症 

分 类 号：R445.1[医药卫生—影像医学与核医学]