经阴道实时三维子宫输卵管超声造影评价输卵管通畅性的诊断价值  

Evaluation of fallopian tube patency with transvaginal real-time three-dimensional hysterosalpingo contrast sonography

作　　者：张姗[1] 田力[1] 毕蓓蕾[1] 张晓英[1] 陈荣杰[1] 安超[1] 郭丽[1] 

机构地区：[1]河南中医药大学,河南郑州450000

出　　处：《中国临床医学影像杂志》2016年第12期892-895,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨经阴道实时三维子宫输卵管超声造影评价输卵管通畅性的诊断价值。方法:回顾性分析62例不孕症患者进行经阴道实时三维超声造影检查的结果,其中25例与腹腔镜下输卵管通液术检查结果进行对比。结果:经阴道实时三维子宫输卵管超声造影检查62例不孕症患者(3例单侧输卵管切除)共121条输卵管,诊断输卵管通畅54条、通而不畅41条、阻塞26条。25例超声造影与腹腔镜下输卵管通液术结果比较,总符合率为86.00%(43/50),一致性检验Kappa值为0.702,P>0.05,两种检查方法高度一致。结论:经阴道实时三维子宫输卵管超声造影能够实时动态地显示输卵管的走形,准确有效地评价输卵管的通畅性。Objective： To explore the clinical value of transvaginal real-time three-dimensional hysterosalpingo contrast sonography （RT-3D-HyCoSy） in the assessment of tubal patency. Methods： Imaging data of 62 patients with infertility examined by transvaginal RT-3D-HyCoSy was analyzed retrospectively, in which 25 cases were compared with laparoscopic hydrotubation. Results： One hundred and twenty one fallopian tubes were showed by RT-3D-HyCoSy in the 62 patients （3 patients had unilateral tube）, among which 54 tubes were diagnosed to be patency, 41 incompletely occluded, and 26 occluded. RT- 3D-HyCoSy was compared with laparoscopic hydrotubation in 25 cases, with the total coincidence rate of 86.00%（43/50） and consistency checking Kappa value of 0.702 （P〉0.05）, showing high consistency for the two methods. Conclusion： RT-3D-Hy- CoSy could dynamically display the morphological character of fallopian tube real-time. RT-3D-HyCoSy is an accurate and effective approach to assess fallopian tube patency.

关 键 词：输卵管疾病 超声检查 

分 类 号：R711.76[医药卫生—妇产科学] R445.1[医药卫生—临床医学]