超声与X线子宫输卵管造影对子宫发育异常分型及输卵管畅通情况的诊断价值  

Diagnostic value of ultrasonography and X-ray hysterosalpingography in the classification of abnormal uterine development and tubal occlusion

作　　者：刘华平 周玉琴 董蕾 肖晓玲 林琼 LIU Huaping;ZHOU Yuqin;DONG Lei;XIAO Xiaoling;LIN Qiong(Department of Ultrasound Medicine,Ganzhou Maternal and Child Health Hospital,Jiangxi Province,Ganzhou,341000,China)

机构地区：[1]江西省赣州市妇幼保健院超声医学科,江西赣州341000

出　　处：《中国当代医药》2022年第33期98-101,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划任务(GZ2020ZSF323)。

摘　　要：目的探讨超声与X线子宫输卵管造影对子宫发育异常分型及输卵管畅通情况的诊断价值。方法选择赣州市妇幼保健院2019年1月至2021年6月收治的50例疑似子宫发育异常患者为研究对象,均行X线子宫输卵管造影检查、二维联合三维超声检查,以宫腹腔镜检查或手术结果为金标准,分析X线造影与超声检查诊断子宫发育异常的诊断效能,并评估两种检查方法对输卵管畅通情况的诊断效能,另比较两种检查方法的安全性。结果超声检查诊断子宫发育异常准确度为98.00%、灵敏度为97.44%、特异度为100.00%,分型诊断与金标准一致性较好(Kappa=0.88);X线造影检查诊断准确度为96.00%、灵敏度为97.44%、特异度为90.91%,分型诊断与金标准一致性较好(Kappa=0.82)。超声检查诊断输卵管阻塞的准确率度96.00%、灵敏度为100.00%、特异度为94.44%,与金标准比较一致性较好(Kappa=0.91)。两种检查方法对子宫发育异常分型及输卵管阻塞的诊断效能比较,差异均无统计学意义(P>0.05)。超声检查不良反应发生率低于X线造影检查,差异有统计学意义(P<0.05)。结论超声与X线子宫输卵管造影对诊断子宫发育异常以及输卵管畅通情况的效果相当,但超声检查效率更高,且不良反应风险更低,诊断方案安全可靠,值得推广。Objective To explore the Value of ultrasonography and X-ray hysterosalpingography in the diagnosis of abnormal uterine development and unblocked tubal.Methods Fifty patients with suspected abnormal uterine development admitted to Ganzhou Maternal and Child Health Hospital from January 2019 to June 2021 were selected,all of whom received X-ray hysterosalpingography and two-dimensional combined three-dimensional ultrasound.The diagnostic efficacy of X-ray and ultrasound in diagnosing abnormal uterine development was analyzed using laparoscopy or surgical results as the gold standard.The diagnostic efficacy of the two methods for unblocked tubal conditions was evaluated,and the safety of the two methods was compared.Results The accuracy,sensitivity and specificity of ultrasonography in the diagnosis of abnormal uterine development were 98.00%,97.44%and 100.00%,and the classification diagnosis was in good agreement with the gold standard(Kappa=0.88).The diagnostic accuracy,sensitivity and specificity of X-ray angiography were 96.00%,97.44%and 90.91%,and the classification diagnosis was in good agreement with the gold standard(Kappa=0.82).The accuracy,sensitivity and specificity of ultrasonography in diagnosing tubal obstruction were 96.00%,100.00%and 94.44%,which were in good consistency with the gold standard(Kappa=0.91).There were no significant differences between the two methods in the classification of abnormal uterine development and the diagnosis of tubal obstruction(P>0.05).The incidence of adverse reactions in ultrasound examination was lower than that in X-ray examination,the difference was statistically significant(P<0.05).The incidence of adverse reactions in ultrasound examination was lower than that in X-ray examination(P<0.05).Conclusion ultrasound and X-ray hysterosalpingography have the same effect on the diagnosis of abnormal uterine development and smooth fallopian tube,but ultrasound has higher efficiency,low cost,lower risk of adverse reactions,safe and reliable diagnostic scheme,which is worthy

关 键 词：二维超声 三维超声 子宫发育异常 X线 子宫输卵管造影 不良反应 

分 类 号：R445[医药卫生—影像医学与核医学]