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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.
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