四维超声造影在评估不孕症输卵管通畅程度中的临床价值  

Clinical value of 4 dimensional ultrasound imaging in the evaluation of tubal patency of infertility patient

作　　者：林武辉[1] 何立红[1] 杨璞[1] 赖胜坤[1] 

机构地区：[1]广东省中山市博爱医院超声科,中山528403

出　　处：《上海医药》2016年第15期46-48,60,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：广东省中山市医学科研基金项目(项目编号:2013A020032)

摘　　要：目的 :探讨四维超声造影在评估不孕症输卵管通畅程度中的临床价值。方法 :选取2012年7月—2015年6月我院确诊治疗的不孕症患者144例,所有患者均通过经阴道二维、四维超声造影检查及宫腹腔镜下通染液检查评估其输卵管通畅程度,统计分析用不同方法评估输卵管通畅程度的情况。结果 :经阴道2维和4维超声造影检查评估不孕症输卵管通畅程度的阳性和阴性预测值、敏感度、特异性和准确度分别为62.50%、90.00%、83.33%、75.00%和77.78%及81.82%、96.63%、93.75%、89.58%和90.72%,且经阴道四维超声造影检查的敏感度、特异度、准确度明显高于二维超声(P<0.05)。结论 :四维超声造影评估不孕症患者输卵管通畅程度具有良好的敏感度、特异度和准确度,且具有准确、简便、快速的优点。Objective： To discuss the clinical value of 4 dimensional ultrasound imaging in the evaluation of tubal patency of infertility patient. Methods： One hundred and forty-four patients with infertility were selected from our hospital and the extent of their tubal patency was evaluated by transvaginal 2 and 4 dimensional ultrasound imaging examination and palace via laparoscopic examination and statistically analyzed with different methods. Results： The positive and negative predictive values, sensitivity, specificity and accuracy were 62.50%, 90.00%, 83.33%, 75.00% and 83.33% in transvaginal 2 dimensional ultrasound imaging examination and 81.82%, 96.63%, 93.75%, 89.58%, 93.75% in transvaginal 4 dimensional ultrasound imaging examination and the sensitivity, specificity and accuracy were significantly higher with 4 dimensional ultrasound imaging than the 2 dimensional ultrasound imaging（P〈0.05）. Conclusion： Four dimensional ultrasound imaging for the evaluation of the extent of tubal patency of infertility patients possesses good sensitivity, specificity and accuracy and is fast, simple and accurate.

关 键 词：四维超声造影 不孕症 输卵管通畅 

分 类 号：R711.6[医药卫生—妇产科学] R445.1[医药卫生—临床医学]