生理盐水宫腔声学造影对反复流产患者宫内病变诊断的应用价值  

Diagnostic Value of Saline Influsion Sonohysterography for Intrauterine Lesions in Patients with Recurrent Miscarriage

作　　者：赵婷 刘庆芝 程杨[1] 吴淑花 蓝莉玲 赵珊珊 欧阳星[3] 杨娜[1] 杨宇[1] ZHAO Ting;LIU Qingzhi;CHENG Yang;WU Shuhua;LAN Liling;ZHAO Shanshan;OUYANG Xing;YANG Na;YANG Yu(Department of Obstetrics and Gynecology,Guangzhou First People's Hospital,Guangzhou,Guangdong Province,510000 China;Department of Reproduction,the University of Hong Kong-Shenzhen Hospital,Shenzhen,Guangdong Province,518000 China;Department of Reproductive Immunology,Shenzhen Maternal and Child Health Hospital,Shenzhen,Guangdong Province,518000 China)

机构地区：[1]广州市第一人民医院妇产科,广东广州510000 [2]香港大学深圳医院生殖科,广东深圳518000 [3]深圳市妇幼保健院生殖免疫科,广东深圳518000

出　　处：《世界复合医学》2023年第3期95-98,共4页World Journal of Complex Medicine

摘　　要：目的探讨生理盐水宫腔声学造影(saline influsion sonohysterography,SIS)对反复流产患者宫内病变诊断的应用价值。方法从2020年6月—2021年12月就诊于深圳市妇幼保健院的反复流产患者中选取72例疑有宫腔病变的患者,对其进行经阴道超声(transvaginal sonography,TVS)、SIS及宫腔镜检查,以宫腔镜检查为金标准,比较不同诊断方法之间的应用价值。结果TVS与宫腔镜诊断结果一致性检验显示,Kappa值为0.291,灵敏度为100.00%,特异度为29.73%。SIS与宫腔镜诊断结果一致性检验显示,Kappa值为0.944,灵敏度为100.00%,特异度为94.59%。TVS诊断宫腔病变的准确性为63.89%,明显低于SIS的97.22%,差异有统计学意义(χ^(2)=25.537,P<0.005)。结论SIS是一种诊断宫内病变简便、有效、无创的检查方法。Objective To investigate the application value of saline influsion sonohysterography(SIS)for the diagnosis of intrauterine lesions in patients with recurrent miscarriage.Methods From June 2020 to December 2021,72 patients with suspected uterine cavity lesions were selected from the patients with recurrent miscarriage who visited Shenzhen Maternal and Child Health Hospital.Transvaginal ultrasound(TVS),SIS,and hysteroscopy were performed on them,using hysteroscopy as the gold standard to compare the application value of different diagnostic methods.Results The consistency test between TVS and hysteroscopy diagnosis results showed that the Kappa value was 0.291,the sensitivity was 100.00%,and the specificity was 29.73%.The consistency test between SIS and hysteroscopy diagnosis results showed that the Kappa value was 0.944,the sensitivity was 100.00%,and the specificity was 94.59%.The accuracy of TVS in diagnosing uterine cavity lesions was 63.89%,significantly lower than 97.22% of SIS,and the difference was statistically significant(χ^(2)=25.537,P<0.05).Conclusion SIS is a simple,effective and noninvasive examination method for the diagnosis of intrauterine lesions.

关 键 词：生理盐水宫腔声学造影(SIS) 宫内病变 反复流产 

分 类 号：R4[医药卫生—临床医学]