改良经阴道实时三维子宫输卵管超声造影技术联合宫腔水造影评估不孕症患者宫腔粘连价值  

The value of modified transvaginal real-time three-dimensional hysterosalpingography ultrasound technique combined with hydro hysterosalpingography for evaluating intrauterine adhesions in infertility patients

作　　者：杨栋云 叶玲红[1] 陈方红[1] YANG Dongyun;YE Linghong;CHEN Fanghong(Lishui Central Hospital, Zhejiang Province,323000)

机构地区：[1]浙江省丽水市中心医院,323000

出　　处：《中国计划生育学杂志》2020年第12期2113-2115,2119,F0003,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨改良经阴道实时三维子宫输卵管超声造影技术(TVS RT 3D-HyCoSy)联合宫腔水造影(SIS)诊断不孕症患者宫腔粘连的临床价值。方法:将2017年7月1日—2020年1月1日本院收治不孕症患者135例作为研究对象,对所有患者术前采用改良TVS RT 3D-HyCoSy联合SIS检查,并与腹腔镜检查(LPS)结果对比,观察改良TVS RT 3D-HyCoSy联合SIS诊断输卵管通畅性的灵敏度、特异度及准确度;然后再对所有患者宫腔镜检查(HS),观察改良TVS RT 3D-HyCoSy联合SIS与单用改良TVS RT 3D-HyCoSy诊断宫腔粘连的灵敏度、特异度及准确度,对比其诊断效能。结果:改良TVS RT 3D-HyCoSy联合SIS诊断输卵管通畅性的灵敏度(88.4%)、特异度(93.3%)及准确度(91.1%),诊断宫腔粘连的灵敏度(100.0%)、特异度(95.2%)及准确度(97.8%)高于单用改良TVS RT 3D-HyCoSy(78.3%、72.7%、75.6%)P<0.05)。结论:改良TVS RT 3D-HyCoSy联合SIS可更精准地评估不孕症患者宫腔粘连状态。Objective:To investigate the clinical value of modified transvaginal real-time three-dimensional hysterosalpingography by ultrasound(TVS RT 3D-HyCoSy)combined with hydro hysterosalpingography(HHS)for diagnosing intrauterine adhesions of infertility patients.Methods:From July 1,2017 to January 1,2020,135 infertility patients were selected as the research objects.All patients were examined by modified TVS RT 3D-HyCoSy combined with HHS for diagnosing their intrauterine adhesions before operation,and those results were compared to the results by laparoscopy(LPS).The sensitivity,the specificity,and the accuracy of the modified TVS RT 3D-HyCoSy combined with HHS for diagnosing fallopian tube patency of infertility patients were calculated.As for those infertility patients after hysteroscopy(HS),the sensitivity,the specificity,and the accuracy of the modified TVS RT 3D-HyCoSy combined with HHS or the modified TVS RT 3D-HyCoSy alone for diagnosing intrauterine adhesions were also calculated,and the diagnostic efficiency of them was compared.Results:The sensitivity,the specificity,and the accuracy of the modified TVS RT 3D-HyCoSy combined with HHS for diagnosing fallopian tube patency of infertility patients were 88.4%,93.3%,and 91.1%,respectively.The sensitivity(100.0%),the specificity(95.2%),and the accuracy(97.8%)of the modified TVS RT 3D-HyCoSy combined with HHS for diagnosing intrauterine adhesions were significant higher than those(78.3%,72.7%,and 75.6%)of the modified TVS RT 3D-HyCoSy alone P<0.05).Conclusion:The modified TVS RT 3D-HyCoSy combined with HHS can assess the state of intrauterine adhesions of infertility patients more accurately.

关 键 词：不孕症 宫腔粘连 改良经阴道实时三维子宫输卵管超声造影技术 宫腔水造影 

分 类 号：R711.6[医药卫生—妇产科学]