子宫输卵管三维超声造影与X线碘水造影在不孕症患者中的应用价值  

Clinical value comparison between transvaginal three-dimensional hysterosalpingo-contrast sonography and hysterosalpingography indiagnosis of tubal patency

作　　者：李金莉 邝彩红 梁凤伟 李少梅 LI Jin-li;KUANG Cai-hong;LIANG Feng-wei;et al(Department of Ultrasound, Yunfu People＇s Hospital, Yunfu Guangdong 527300, China;Yunfu Women＇s Health Planning Service Center, Yunfu Guangdong 527300, China.)

机构地区：[1]云浮市人民医院超声科,广东云浮527300 [2]云浮市妇女保健计划生育服务中心,广东云浮527300

出　　处：《临床和实验医学杂志》2018年第10期1102-1104,共3页Journal of Clinical and Experimental Medicine

基　　金：云浮市卫计局医药卫生类科研项目(编号:2017B14)

摘　　要：目的探讨经阴道子宫输卵管实时三维超声造影(RT-3D-Hy Co Sy)和X线碘水造影(HSG)在不孕症临床诊治中的应用价值。方法回顾性分析2017年5~11月在云浮市人民医院就诊的不孕症患者的临床资料,以腹腔镜输卵管通液术(LTF)为金标准,比较RT-3D-Hy CoSy和HSG评估输卵管通畅程度和输卵管有无积水的准确率,分析两种技术的临床应用价值。结果 121例患者进行3D-Hy Co Sy检查,170例患者进行HSG检查,38例患者进行腹腔镜输卵管通液术治疗。对输卵管通畅程度的评估,3D-Hy CoSy、HSG与LTF的总符合率分别为85.5%(κ=0.735)和78.9%(κ=0.652);对输卵管有无积水的评估,3D-Hy CoSy、HSG与LTF的总符合率分别为81.6%(κ=0.685)和80.3%(κ=0.643)。两种技术诊断输卵管通畅程度和有无积水的准确率差异均无统计学意义(P=0.793,P=0.885)。结论在不孕症的病因诊断中,3D-Hy CoSy对输卵管通畅程度的诊断价值优于HSG。Objective To investigate the clinic value of transvaginal three-dimensional hysterosalpingo-contrast sonography（ RT-3 D-Hy Co Sy） and hysterosalpingography（ HSG） in infertility. Methods A retrospective analysis of clinic data in infertility patients of Yunfu People＇s hospital from May 2017 to November 2017 was performed,and the messages of tubal patency and tubal dropsy were collected. Laparoscopic tubal fluid（ LTF） as the gold standard,the difference of two techniques in evaluation of the degree of tubal patency and the accuracy of hydrosalpinx was anlyzed. Results 121 patients were examined by 3 D-Hy Co Sy,and 170 by HSG respectively; Among them,38 patients were performed laparoscopic surgery. The total diagnosis coincidence rate of tubal patency between 3 D-Hy Co Sy and laparoscopic surgery was 85. 5%（ κ= 0. 735）,and between HSG and laparoscopic surgery was 78. 9%（ κ = 0. 652）; The total diagnosis coincidence rate of tubal dropsy between 3 D-Hy Co Sy and laparoscopic surgery was 81. 6%（ κ = 0. 685）,and between HSG and laparoscopic surgery was 80. 3%（ κ = 0. 643）. There was no significant difference between the two techniques in the diagnosis of tubal patency and tubal dropsy（ P = 0. 793,P = 0. 885）. Conclusion In the etiological diagnosis of infertility,3 D-Hy Co Sy is superior to HSG in the diagnosis of tubal patency and hydrops.

关 键 词：不孕症 子宫输卵管超声造影 子宫输卵管碘水造影 腹腔镜输卵管通液术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.6[医药卫生—诊断学] R816.91[医药卫生—临床医学]