三维子宫输卵管超声造影技术联合宫腔水造影诊断不孕症患者宫腔粘连价值  

Value of three-dimensional hysterosalpingo-contrast sonography combined with saline-infused sonohysterography for diagnosing intrauterine adhesion of patients with infertility

作　　者：张翠翠 丁玉美 隗传云 ZHANG Cuicui;DING Yumei;WEI Chuanyun(Bozhou Hospital of Traditional Chinese Medicine,Bozhou,Anhui Province,236800)

机构地区：[1]安徽省亳州市中医院,236800

出　　处：《中国计划生育学杂志》2023年第2期393-396,F0003,共5页Chinese Journal of Family Planning

基　　金：河南省医学科技攻关计划联合共建项目(HGJ20191216);洛阳市科技发展计划项目(2001026A)。

摘　　要：目的:分析三维子宫输卵管超声造影(3D-HyCoSy)技术联合宫腔水造影(SIS)对不孕症患者宫腔粘连(IUA)的诊断价值。方法:回顾性收集2019年11月-2021年9月本院诊断治疗的女性不孕症患者90例临床资料。均行3D-HyCoSy和SIS检查,以宫腔镜检查结果为“金标准”,分析3D-HyCoSy、SIS单独与联合检查诊断不孕症患者IUA的效能。结果:90例中宫腔镜病理诊断IUA 41例(45.6%);3D-HyCoSy诊断IUA的敏感度73.2%,特异度77.6%,准确率75.6%,Kappa值0.51;SIS诊断IUA的敏感度80.5%,特异度75.5%,准确率77.8%,Kappa值0.56;3D-HyCoSy联合SIS诊断IUA的敏感度95.1%,特异度89.8%,准确率92.2%,Kappa值0.84;3D-HyCoSy联合SIS诊断敏感度和准确率提高(P<0.05),但特异度未见差异(P>0.05)。结论:3D-HyCoSy联合SIS可有效提高不孕症患者IUA诊断准确率,且无创、无辐射,应用安全性高,具有临床应用价值。Objective: To analyze the value of three-dimensional hysterosalpingo-contrast sonography(3D-HyCoSy) combined with saline-infused sonohysterography(SIS) for diagnosing intrauterine adhesion(IUA) of patients with infertility. Methods: The clinical data of 90 patients with infertility were collected retrospectively. All these patients had undergone 3D-HyCoSy and SIS. The results of hysteroscopy as the golden standard, the efficacy of 3D-HyCoSy or SIS alone, and the combined 3D-HyCoSy and SIS for diasgnosing IUA of these patients. Results: The pathological diagnosis after hysteroscopy showed that there were 41(45.6%) patients with IUA. The sensitivity, the specificity, the accuracy, and the Kappa value of 3D-HyCoSy for diagnosing IUA of the patients were 73.2%, 77.6%, 75.6%, and 0.51, respectively, and which of SIS for diagnosing IUA of the patients were 80.5%, 75.5%, 77.8%, and 0.56, respectively. The sensitivity, the specificity, the accuracy, and the Kappa value of 3D-HyCoSy combined with SIS for diagnosing IUA of the patients were 95.1%, 89.8%, 92.2%, and 0.84, respectively. The sensitivity and the accuracy of 3D-HyCoSy combined with SIS for diagnosing IUA of the patients had increased(P<0.05), but the specificity of which had no changed(P>0.05). Conclusion: 3D-HyCoSy combined with SIS can effectively improves the accuracy rate of diagnosing IUA of the infertility patients, and which has non-invasive, no radiation, high application safety, so it has some clinical application value.

关 键 词：不孕症 宫腔粘连 子宫输卵管超声造影 宫腔水造影 诊断价值 

分 类 号：R711.6[医药卫生—妇产科学] R445.1[医药卫生—临床医学]