多模态经阴道超声造影技术对输卵管通畅性的诊断价值  

The diagnostic value of multimodal transvaginal contrast-enhanced ultrasonography combined with fallopian tube patency

作　　者：傅芬 叶琴[1] 梁荣喜[1] 郭晶晶[1] 杨嘉嘉[1] 薛恩生[1] 范晓青 Fu Fen;Ye Qin;Liang Rongxi;Guo Jingjing;Yang Jiajia;Xue Ensheng;Fan Xiaoqing(Department of Ultrasound,Union Hospital,Fujian Medical University,Fujian Institute of Ultrasonic Medicine,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院超声科福建省超声医学研究所,福州350001

出　　处：《中华超声影像学杂志》2020年第9期781-785,共5页Chinese Journal of Ultrasonography

基　　金：福建省财政专项基金(2018B058)。

摘　　要：目的探讨多模态经阴道超声造影技术联合应用对输卵管通畅性的诊断价值。方法选取2017年11月至2019年11月在福建医科大学附属协和医院门诊就诊的不孕症患者212例,应用多模态超声造影检查,分析经阴道四维子宫输卵管超声造影(TVS 4D-HyCoSy,4D)、三维子宫输卵管超声造影(TVS 3D-HyCoSy,3D)、二维子宫输卵管超声造影(TVS 2D-HyCoSy,2D)、经阴道谐波成像(TVS harmonic imaging,HI)4种模态超声造影及其联合应用对输卵管通畅性的诊断效率,并对照分析高、低年资组超声医师在各模态下对输卵管通畅性检查的诊断效率。结果2例患者因疼痛放弃检查,210例患者420条输卵管造影成功,其中375条通畅,45条阻塞(右侧13例,左侧18例,双侧7例)。高、低年资组中,不同模态联合对输卵管通畅性的诊断效率不同,差异有统计学意义(均P<0.01),且4D+3D+2D+HI组与4D+3D+2D组、4D+3D+2D组与4D+3D组、4D+3D组与4D组相比较,差异有统计学意义(均P<0.05),高、低年资组超声医师在各多模态下对输卵管通畅性检查的诊断效率间比较差异无统计学意义(均P>0.05)。结论多模态经阴道超声造影技术联合诊断效率比单模态更高,且高、低年资组超声医师均可对输卵管通畅性进行高效的诊断,对输卵管通畅性的诊断具有重要的临床应用价值。Objective To investigate the diagnostic value of multimodal transvaginal contrast-enhanced ultrasound combined with fallopian tubal patency.Methods From November 2017 to November 2019,212 patients with infertility were treated in the outpatient clinic of the Union Hospital of Fujian Medical University.Multimodal contrast-enhanced ultrasonography was used to analyze the diagnostic efficiency differences of four-dimensional transvaginal contrast-enhanced hysterosalpinx(TVS 4D-HyCoSy,4D),three-dimensional contrast-enhanced hysterosalpingography(TVS 3D-HyCoSy 3D),two-dimensional contrast-enhanced hysterosalpingography(TVS 2D-HyCoSy 2D),and transvaginal harmonic imaging(TVS harmonic imaging,HI)individually and in different combinations.The diagnostic efficiency of tubal patency was compared between the high seniority group and the low seniority group.Results Two patients gave up the examination because of pain.A total of 420 salpingography in 210 patients were successful,of which 375 were unobstructed and 45 were blocked(13 on the right,18 on the left,and 7 on both sides).In high seniority group and low seniority group,the diagnostic efficiencies of different mode combinations on fallopian tubal patency were significantly different(P<0.01).There were significant differences(P<0.05)between 4D+3D+2D+HI group and 4D+3D+2D group,4D+3D+2D group and 4D+3D group,4D+3D group and 4D group.There was no significant difference(P>0.05)in the diagnostic efficiency of fallopian tubal patency between high seniority group and low seniority group.Conclusions The diagnostic efficiency of multimodal transvaginal contrast-enhanced ultrasound combined is higher than that of single mode,and ultrasound doctors in both high and low seniority groups can effectively diagnose fallopian tubal patency,which has important clinical value in the diagnosis of fallopian tube patency.

关 键 词：子宫输卵管超声造影 输卵管 通畅性 

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]