经阴道子宫输卵管三维超声造影与X线碘油造影在评价输卵管通畅性价值对比研究  

Study on Clinical Diagnostic Value of Transvaginal 3D Ultrasound Contrast Hysterosalpingography versus X-ray Hysterosalpingography

作　　者：郭书邑 许映斌[2] 杨佳丽[1] 

机构地区：[1]汕头市妇幼保健院超声科 [2]汕头大学医学院第一附属医院超声科,广东汕头515041

出　　处：《汕头大学医学院学报》2016年第1期55-58,共4页Journal of Shantou University Medical College

摘　　要：目的:探讨经阴道子宫输卵管三维超声造影(3D-HyCoSy)对诊断输卵管通畅性的临床价值。方法:不孕症患者(65例)同时接受经阴道3D-HyCoSy和X线子宫输卵管造影(HSG)检查,并与腹腔镜检查(48例)进行对照;比较3D-HyCoSy对输卵管通畅性的诊断价值。结果:3D-HyCoSy能获得清晰子宫宫腔和输卵管图像,且不良反应小。3D-HyCoSy与HSG检查结果具有较好的一致性。以腹腔镜检查为金标准,对比3D-HyCoSy和HSG检查结果,前者诊断符合率(91.7%)高于后者(88.5%)。结论:3D-HyCoSy能准确评价输卵管通畅情况,对输卵管性不孕症的诊断有较高的临床诊断价值。Objective ： To study the clinical value of transvaginal 3D ultrasound contrast hysterosalpingography（3D-HyCoSy）in diagnosis of tubal patency. Methods：Infertility patients（n=65）were all performed 3D-HyCoSy and X-ray hysterosalpingography（HSG）examination,and the results were compared with that patients（n=48）underwent laparoscopic examination. The diagnostic value of 3D-HyCoSy in tubal patency evaluation was analyzed. Results：3D-HyCoSy could get good quality images of uterine cavity and fallopian tube,and with low adverse reaction. 3D-HyCoSy and HSG examination showed a good consistency,and compared with the results of patients underwent laparoscopy,the accurate diagnosis rate of 3D-HyCoSy（91.7%）was higher than that HSG（88.5%）. Conclusion：3D-HyCoSy can evaluate the tubal patency,and has high clinical value on tubal infertility diagnosis.

关 键 词：输卵管 经阴道三维超声造影 X线碘油造影 

分 类 号：R445.1[医药卫生—影像医学与核医学]