经阴道SonoVue超声造影联合宫腔压力检查对输卵管性不孕的诊断价值  

Diagnostic value of transvaginal SonoVue contrast-enhanced ultrasound combined with intrauterine pressure examination for tubal infertility

作　　者：叶细容[1] 刘佳[1] YE Xi-rong;LIU Jia(Ultrasound Imaging Department,Huangshi Central Hospital of Edong Healthcare Group,Affiliated Hospital of Hubei Institute of Technology,Huangshi 435000,Hubei Province,China)

机构地区：[1]鄂东医疗集团黄石市中心医院湖北理工学院附属医院超声影像科

出　　处：《医疗卫生装备》2019年第11期42-45,54,共5页Chinese Medical Equipment Journal

摘　　要：目的:探讨经阴道SonoVue超声造影联合宫腔压力检查对输卵管性不孕的诊断价值,为临床更好地诊断该病提供参考。方法:选取2018年1—12月某院输卵管性不孕患者100例。所有患者均给予经阴道SonoVue超声造影及宫腔压力检查,以宫腹腔镜下通液检查为对照,比较不同通畅程度输卵管的宫腔压力,以及经阴道SonoVue超声造影、宫腔压力检查及二者联合对输卵管性不孕的诊断价值。采用SPSS 20.0统计学软件进行数据分析。结果:宫腹腔镜下通液检查显示,输卵管通畅50条,通而不畅86条,阻塞64条;输卵管通畅患者宫腔压力[(25.42±2.86)kPa]明显低于通而不畅患者[(40.41±4.32)kPa],通而不畅患者宫腔压力明显低于阻塞患者[(51.72±5.47)kPa],差异有统计学意义(P<0.001);在评估输卵管通畅、通而不畅、阻塞符合率及总符合率中,宫腔压力检查分别为92.00%、74.42%、75.00%、79.00%,超声造影检查分别为96.00%、81.40%、81.25%、85.00%,二者联合分别为100.00%、95.35%、93.75%、96.00%,超声造影联合宫腔压力检查评估输卵管通而不畅、阻塞符合率及总符合率明显高于超声造影、宫腔压力检查,差异有统计学意义(P<0.05),不同方法评估输卵管通畅符合率比较,差异无统计学意义(P>0.05)。结论:经阴道SonoVue超声造影、宫腔压力检查对输卵管性不孕具有良好的诊断价值,且二者联合的诊断价值更高,尤其在评估输卵管的通而不畅、阻塞方面,值得临床推广应用。Objective To discuss the diagnostic value of transvaginal SonoVue contrast-enhanced ultrasound combined with intrauterine pressure examination for tubal infertility in order to provide references for the clinical diagnosis of the disease.Methods Totally 100 patients with tubal infertility were selected from January 2018 to December 2018 in some hospital,all the patients underwent the examination by transvaginal SonoVue contrast-enhanced ultrasound combined with intrauterine pressure examination,and the hysteroscopy was used as the control.Comparisons were executed over the uterine pressures of the fallopian tubes with different patency degrees by independent sample test,and over the diagnostic values of independent transvaginal SonoVue contrast-enhanced ultrasound and uterine pressure examination as well as combined diagnosis by both of them.SPSS 20.0 software was used for data analysis.Results The results of hysteroscopy showed that 50 tubes were unobstructed,86 tubes were partially obstructed and 64 tubes were blocked;the uterine pressures of the patients with unobstructed tubes[(25.42±2.86)kPa]were significantly lower than those of the patients with partially obstructed tubes[(40.41±4.32)kPa],the uterine pressures of the patients with unobstructed tubes were significantly lower than those of the patients with blocked tubes[(51.72±5.47)kPa],and the differences were statistically significant(P<0.001).The coincidence rate and total coincidence rate of partially obstructed and blocked fallopian tubes were 92.00%,74.42%,75.00%and 79.00%by uterine pressure examination,96.00%,81.40%,81.25%and 85.00%by transvaginal SonoVue contrast-enhanced ultrasound and 100.00%,95.35%,93.75%and 96.00%by combined diagnosis.Combined diagnosis behaved significantly better than independent transvaginal SonoVue contrast-enhanced ultrasound or uterine pressure examination when used for evalua-ting the coincidence rates and total coincidence rates of obstructed and blocked tubes(P<0.05),while there were no statistical differences betwee

关 键 词：经阴道SonoVue超声造影 宫腔压力 输卵管性不孕 SonoVue造影剂 宫腹腔镜通液 

分 类 号：R318[医药卫生—生物医学工程] R445.1[医药卫生—基础医学]