经阴道四维超声造影技术评价输卵管的通畅性  

Transvaginal four-dimensional contrast-enhanced ultrasound technique to evaluate tubal patency

作　　者：杨君梅[1] 马晓芹[1] 张春云[1] 王瑶[1] 

机构地区：[1]广东省惠州市第三人民医院超声科,广东惠州516002

出　　处：《中国医药科学》2016年第3期192-195,共4页China Medicine And Pharmacy

摘　　要：目的探究经阴道四维超声造影技术评价输卵管的通畅性的有效性和应用价值。方法对本院接受治疗的不孕不育妇女75例进行阴道四维超声造影的检查,根据所获的图像,对患者的输卵管的通畅性进行评估,随后患者选择腹腔镜进行输卵管的检查,对经四维超声造影检查结果与经腹腔镜检查的患者分别进行比较和分析,检查的符合率从输卵管通畅、不畅和堵塞三个方面进行。结果四维超声造影和腹腔镜检查输卵管的通畅、输卵管通而不畅、输卵管不畅的符合率以此为93.65%、85.71%、93.88%,总的诊断符合率为91.21%,综合来看,诊断的符合率较高;四维超声造影的输卵管通畅、输卵管通而不畅和输卵管阻塞例数分别是63、36和49,腹腔镜检查的例数分别是63、35和50,两组比较差异无统计学意义(P>0.05)。结论四维超声造影的输卵管立体动态图像,清晰立体直观、形态真实、显影实时、操作简便、可重复性强、优势明显前景广阔。Objective To explore the efficacy and applicative value of transvaginal four-dimensional contrastenhanced ultrasound to evaluate tubal patency. Methods 75 infertile women who were treated in our hospital were received examination of transvaginal four-dimensional contrast-enhanced ultrasound.According to obtained images,tubal patency of patients was evaluated. Then patients were received tubal examination by laparoscopy.Results of transvaginal four-dimensional contrast-enhanced ultrasound and laparoscopic examination were respectively compared and analyzed.The concordance rate of examination was analyzed from tubal patency,partially obstructed fallopian tube and obstructed fallopian tube. Results Compliance rates of tubal patency,partially obstructed fallopian tube and obstructed fallopian tube and laparoscopic examination were 93.65%,85.71% and 93.88% respectively.And the total compliance rate of diagnosis was 91.21%.Comprehensively,the compliance rate of diagnosis was higher.Cases of tubal patency, partially obstructed fallopian tube and obstructed fallopian tube of four-dimensional contrast-enhanced ultrasound were 63, 36 and 49 respectively and those of the laparoscopic examination were 63, 35 and 50 respectively.The two groups had no significant difference which had no statistical significance（P〉 0.05）. Conclusion Stereoscopic dynamic image of fallopian tube of four-dimensional contrast-enhanced ultrasound is clear, stereoscopic,intuitive,well-shaped,real time,easy to operate and strongly repeated.It has remarkable advantages with a broad prospect.

关 键 词：阴道四维超声造影 腹腔镜检查 输卵管 

分 类 号：R445.1[医药卫生—影像医学与核医学]