三维超声与X线造影诊断子宫输卵管通畅性的价值对比研究  

A comparative study on the value of three-dimensional ultrasound and X-ray lipiodolography in the diagnosis of uterine tubal patency

作　　者：陈光强 宣成潇 冯国芳[3] 生启芳 CHEN Guangqiang;XUAN Chengxiao;FENG Guofang;SHENG Qifang(Department of Radiology,Yuhang District First People′s Hospital of Hangzhou,Hangzhou 311100,Zhejiang,China;Department of Obstetrics and Gynecology,Yuhang District First People′s Hospital of Hangzhou,Hangzhou 311100,Zhejiang,China;Department of Obstetrics and Gynecology,Hangzhou First People′s Hospital,Hangzhou 310000,Zhejiang,China;Department of Obstetrics and Gynecology,Yinzhou District Second People′s Hospital of Ningbo,Ningbo 315040,Zhejiang,China)

机构地区：[1]杭州市余杭区第一人民医院放射科,杭州311100 [2]杭州市余杭区第一人民医院妇产科,杭州311100 [3]杭州市第一人民医院妇产科,杭州310000 [4]宁波市鄞州区第二医院妇产科,浙江宁波315040

出　　处：《中国性科学》2019年第5期71-73,共3页Chinese Journal of Human Sexuality

基　　金：浙江省医学会临床科研基金项目(2011ZYC-A64)

摘　　要：目的研究三维超声造影与X线碘油造影诊断子宫输卵管通畅性的价值对比,为临床诊治提供参考。方法选取2016年11月至2017年11月杭州市余杭区第一人民医院诊治的180例不孕症患者作回顾性分析。按照随机数表法平均分成两组,其中观察组90例,行三维超声造影,对照组90例,行X线碘油造影。以病理学检查结果为金标准,比较两组诊断的漏诊率、误诊率、特异度、敏感度等指标变化情况,并对比两组不良反应发生率情况。结果与病理学结果对比,X线碘油造影误诊率为50.0%,漏诊率为53.8%,敏感度为46.3%,特异度为50.0%,差异有统计学意义(P<0.05);而与病理学结果对比,三维超声造影误诊率为10.0%,漏诊率为6.3%,特异度为90.0%,敏感度为93.8%,差异无统计学意义(P>0.05);两组对比,观察组的不良反应发生率均为8.9%,对照组的不良反应发生率均为11.1%,差异具有统计学意义(P<0.05)。结论三维超声造影诊断子宫输卵管通畅性对比X线碘油造影,符合率更高,且安全性亦可,值得在临床上推广。ObjectiveTo compare the value between three dimensional ultrasound and X-ray lipiodography in the diagnosis of uterine tubal patency, in order to provide reference for clinical diagnosis and treatment. MethodsA retrospective analysis of 180 infertile patients in our hospital from November 2016 to November 2017 was performed. All the patients were randomly divided into 2 groups, where the observation group (n=90) underwent three-dimensional ultrasound and the control group (n=90) underwent X-ray lipiodolography. Taking the pathological examination results as the golden standards, the rate of missed diagnosis, misdiagnosis rate, specificity, sensitivity and the incidence of adverse reactions was compared between the two groups. ResultsCompared with pathologicalresults, the rate of missed diagnosis, misdiagnosis rate, specificity and sensitivity of X-ray lipiodolography was 53.8%,50.0%,46.3% and 50.0% respectively, with statistically significant differences (P<0.05), while those of three-dimensional ultrasound were 6.3%, 10.0%, 90.0% and 93.8% accordingly, without statistically significant differences (P>0.05). The incidence of adverse reaction in the observation group and control group was 8.9% and 11.1% respectively, with statistically significant difference (P<0.05). ConclusionsThe coincidence rate of three-dimensional ultrasound in the diagnosis of uterine tubal patencyis higher than that of X-ray lipiodolography, which is safe and worthy of clinical application.

关 键 词：三维超声造影 X线碘油造影 子宫输卵管通畅性 

分 类 号：R711[医药卫生—妇产科学]