经阴道四维超声造影判断输卵管通畅性、盆腔周围粘连及输卵管功能的价值  

The evaluation of tubal patency,peripelvic adhesion and tubal function by transvaginal four-dimensional contrast-enhanced ultrasonography

作　　者：欧阳飞 王伟群[2] 张婉红 谢秋婵 OUYANG Fei;WANG Weiqun;ZHANG Wanhong;XIE Qiuchan(Department of Ultrasound,Guangzhou Conghua Maternal and Child Health Hospital,Guangzhou,Guangdong 510900,China;Department of Ultrasound,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510150,China;Department of Gynecology,Guangzhou Conghua Maternal and Child Health Hospital,Guangzhou,Guangdong 510900,China)

机构地区：[1]广州市从化区妇幼保健院超声科,广东广州510900 [2]广州医科大学附属第三医院超声科,广东广州5101503 [3]广州市从化区妇幼保健院妇科,广东广州510900

出　　处：《大医生》2022年第7期9-12,共4页Doctor

基　　金：广州市卫生健康科技项目(编号:20201A040017)。

摘　　要：目的研究阴道四维超声造影(4D-HyCoSy)评估输卵管通畅性、盆腔粘连及输卵管功能的应用价值,为临床提供参考。方法选取2020年1月至8月广州市从化区妇幼保健院收治的96例不孕症患者为研究对象进行回顾性分析。以腹腔镜美兰通染液术检测结果为金标准,根据输卵管是否通畅将患者分为不通畅组(62例)和通畅组(34例),患者均接受4D-HyCoSy检查。探讨4D-HyCoSy检测结果与腹腔镜检查结果的一致性,分析4D-HyCoSy检测结果的价值。结果一致性分析显示,4D-HyCoSy判断输卵管通畅性的结果与腹腔镜检测结果一致性高(Kappa值=0.820,P<0.05),4D-HyCoSy判断输卵管通畅度的准确度为91.67%。4D-HyCoSy判断输卵管功能的结果与加拿大输卵管功能评分系统检测结果一致性高(Kappa值=0.811,P<0.05),4D-HyCoSy判断输卵管功能正常的准确度为86.46%。4D-HyCoSy与北京协和医院盆腔粘连评分系统判断盆腔周围粘连的一致性高(Kappa值=0.875,P<0.05),4D-HyCoSy判断盆腔周围粘连的准确度为93.75%。结论4D-HyCoSy评估输卵管通畅性和输卵管功能的准确性高,且有助于筛查盆腔周围粘连。Objective To study the application value of vaginal four-dimensional contrast-enhanced ultrasonography(4D-HyCoSy)in evaluating tubal patency,pelvic adhesion and tubal function,to provide reference for clinical practice.Methods A retrospective analysis was conducted on 96 infertile patients admitted to Guangzhou Conghua Maternal and Child Health Hospital from January to August 2020.The patients were divided into no-unobstructed group(62 cases)and unobstructed group(34 cases),With the detection results of laparoscopic Meilantong dye solution as the gold standard,the consistency between 4D-HyCoSy test results and laparoscopy results was analyzed,the value of 4D-HyCoSy test results was analyzed.Results The consistency analysis showed that the results of 4D-HyCoSy in judging tubal patency were highly consistent with those of laparoscopy(Kappa value=0.820,P<0.05),the accuracy of 4D-HyCoSy in judging tubal patency was 91.67%.The consistency analysis showed that the results of 4D-HyCoSy in judging tubal function were highly consistent with those of Canadian fallopian tube function scoring system(Kappa value=0.811,P<0.05),the accuracy of 4D-HyCoSy to judge the normal of fallopian tube function was 86.46%respectively.The Kappa consistency analysis showed that 4D-HyCoSy was highly consistent with the pelvic adhesion scoring system of Peking Union Medical College Hospital in judging peripelvic adhesion(Kappa=0.875,P<0.05).The accuracy of 4D-HyCoSy to judge the peripelvic adhesion was 93.75%.Conclusion The 4D-HyCoSy examination has high accuracy in evaluating tubal patency and tubal function,and it is helpful to screen peripelvic adhesions.

关 键 词：阴道四维超声造影 输卵管通畅性 盆腔粘连 输卵管功能 

分 类 号：R711.76[医药卫生—妇产科学]