不孕症应用经阴道子宫输卵管四维超声造影检查70例效果观察  

Observation on the effect of transvaginal hysterosalpingography in 70 cases of infertility

作　　者：陆英慧 李琴 汪玲 李冰[2] LU Yinghui;LI Qin;WANG Ling;LI Bin(Ultrasound Section,Zhumadian Central Hospital,Zhumadian,Henan 463000,China;Clinical Laboratory,Xinxiang Central Hospital,Xinxiang,Henan 453000,China)

机构地区：[1]驻马店市中心医院超声科,河南驻马店463000 [2]新乡市中心医院检验科,河南新乡453000

出　　处：《安徽医药》2020年第3期453-455,I0001,共4页Anhui Medical and Pharmaceutical Journal

基　　金：国家高技术研究发展计划(863计划)(2014AA022304)

摘　　要：目的观察经阴道子宫输卵管四维超声造影(TVS 4D⁃HyCoSy)检查在不孕症诊断中的应用效果。方法回顾性分析驻马店市中心医院2018年4月至2019年4月收治的女性不孕症病人140例,将病人按检查方法的不同分为试验组和对照组,各70例,对照组采用子宫输卵管碘油造影检查,试验组采用经阴道子宫输卵管四维超声造影检查,观察两组病人的子宫输卵管的通畅性,比较两组病人的诊断符合率。结果试验组病人的子宫输卵管检查符合率(95.7%)及显像数(68.75±3.64)个显著高于对照组病人的子宫输卵管检查符合率(87.1%)及显像数(62.13±4.57)个(P<0.05),试验组病人实施阴道检查时所受阻力[(18.53±1.12)N比(23.12±2.17)N]及液体反流次数明显低于对照组病人(P<0.05),试验组病人的不良反应发生率1.4%明显低于对照组病人的不良反应发生率10.0%,两组比较差异有统计学意义(P<0.05)。结论经阴道TVS 4D⁃HyCoSy检查图像显示清晰,能准确反映子宫及输卵管的走向及形态结构,且TVS 4D⁃HyCoSy检查方式便捷、无辐射、耗时短,在不孕症临床诊断中具有良好的应用价值。Objective To observe the efficacy of transvaginal hysterosalpingography(TVS 4D⁃HyCoSy)in the diagnosis of infertility.Methods A retrospective analysis of 140 cases of female infertility patients treated in Zhumadian Central Hospital from April 2018 to April 2019 was carried out.Patients were divided into experimental group and the control group according to the different examination methods,with control group adopted the uterus oviduct iodine contrast examination and the experimental group adopted vagina uterus oviduct four⁃dimensional ultrasound imaging examination.The patency of uterine fallopian tube was observed and the diagnostic accordance rates of the two groups were compared.Results The uterine tubal check accordance rate(95.7%)and the number of imaging(68.75±3.64)in the experimental group were significantly higher than those in the control group[uterine tubal check coincidence rate(87.1%)and the number of imaging(62.13±4.57)](P<0.05).The resistance to vaginal examination[(18.53±1.12)N vs.(23.12±2.17)N]and number of liquid reflux in the experimental group were significantly lower than those in the control group(P<0.05),and the incidence of adverse reactions of experimental group patients(1.4%)was significantly lower than that of the control group(10%),the difference between the two groups was statistically significant(P<0.05).Conclusions Transvaginal TVS 4d⁃hycosy examination has a clear image display,which can accurately reflect the trend and shape structure of uterus and fallopian tube.Besides,TVS 4d⁃hycosy examination is convenient,radiation⁃free and time⁃saving,which has good application value in clinical diagnosis of infertility.

关 键 词：不育 女(雌)性/诊断 子宫输卵管造影术 输卵管阻塞 腔内超声检查 图像处理 计算机辅助 

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