经阴超实时四维子宫输卵管超声造影在输卵管通畅度及伞端显示中的应用  

Application of transvaginal super-real-time four-dimensional contra st-enhanced uterosalpinx in the visualization of tubal patency and parasol end

作　　者：杨梅 杜雅莉 杨玲 温婧 YANG Mei;DU Yali;YANG Ling;WEN Jing(Department of Ultrasound,Chongqing Kaizhou District People’s Hospital,Chongqing 405400;Baihe Community Health Service Center,Kaizhou District,Chongqing 405400)

机构地区：[1]重庆市开州区人民医院超声科,重庆405400 [2]重庆市开州区白鹤社区卫生服务中心,重庆405400

出　　处：《当代医药论丛》2022年第19期148-150,共3页

基　　金：重庆市开州区科技局2020年科技计划项目,项目编号:KZKJ-2020-J-17。

摘　　要：目的:观察经阴超实时四维子宫输卵管超声造影在输卵管通畅度及伞端显示中的应用效果。方法:将2020年3月至2021年5月期间重庆市开州区人民医院收治的不孕症患者54例作为观察对象。所有患者均进行子宫输卵管四维超声造影检查和腹腔镜亚甲蓝通液检查,比较两种检查的结果及检查后患者发生并发症的情况。结果:1)进行腹腔镜亚甲蓝通液检查后,患者并发症的发生率为14.8%。进行子宫输卵管四维超声造影检查后,患者并发症的发生率为7.41%。与进行腹腔镜亚甲蓝通液检查相比,患者进行子宫输卵管四维超声造影检查后并发症的发生率较低,差异有统计学意义(P<0.05)。2)患者进行腹腔镜亚甲蓝通液检查与子宫输卵管四维超声造影检查的结果相比,差异无统计学意义(P>0.05)。结论:经阴超实时四维子宫输卵管超声造影在输卵管通畅度及伞端显示中的应用效果较好。在对不孕症患者进行临床诊断时,可应用经阴超实时四维子宫输卵管超声造影检查判断其输卵管的通畅度、输卵管伞端的形态及功能是否存在异常。Objective:To observe the application effect of transyin super real-time four-dimensional contrast-enhanced ultrasound in the patency and umbrella-end display of the fallopian tube.Methods:A total of 54 infertility patients admitted to Chongqing Kaizhou District People’s Hospital from March 2020 to May 2021 were selected as the observation objects.All patients underwent uterosalpinx four-dimensional contrast-enhanced ultrasound examination and laparoscopic methylene blue fluid examination.The results of two kinds of examination and the incidence of complications after examination were compared.Results:1)The incidence of complications was 14.8%after laparoscopic methylene blue fluid examination.The complication rate was 7.41%after uterosalping4-d contrastenhanced ultrasound examination.Compared with laparoscopic methylene blue fluid examination,the incidence of complications after uterosalping4-d contrast-enhanced ultrasound examination was lower,and the difference was statistically significant(P<0.05).2)There was no significant difference between the results of the laparoscopic methylene blue fluid examination and the four-dimensional contrast-enhanced ultrasound examination of the uterus and fallopian tube(P>0.05).Conclusion:Contrast-enhanced ultrasonography of four dimensional uterus and oviduct has a good effect on the patency and parasol end of oviduct.In the clinical diagnosis of infertility patients,transvaginal ultra-real-time four-dimensional contrast-enhanced ultrasound can be used to judge the patency of the fallopian tube,the morphology and function of the umbrellae of the fallo pian tube are abnormal.

关 键 词：输卵管 子宫 伞端 四维超声造影 通畅度 并发症 

分 类 号：R445[医药卫生—影像医学与核医学]