经阴道三维超声子宫输卵管造影诊断输卵管不通不孕症的价值  

Value of Transvaginal Three-dimensional Ultrasound Hysterosalpingography in the Diagnosis of Infertility Tubal Obstruction

作　　者：邹思燕 Zou Siyan(Department of Obstetrics and Gynecology,Shaoguan Ruyuan Yao Autonomous County People's Hospital,Shaoguan 512000,Guangdong Province,China)

机构地区：[1]韶关市乳源瑶族自治县人民医院妇产科,广东韶关512000

出　　处：《中外医药研究》2023年第32期138-140,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析经阴道三维超声子宫输卵管造影(3D-HyCoSy)诊断输卵管不通不孕症的价值。方法:选取2022年1—12月韶关市乳源瑶族自治县人民医院收治的疑似因输卵管不通引发的不孕症患者113例作为研究对象,均行3D-HyCoSy及X线子宫输管造影(HSG),以腹腔镜输卵管通液术检查结果为“金标准”,比较不同造影检查在不孕症中的诊断效能。结果:113例不孕症患者共有221条输卵管,其中通畅186条,占比84.16%;不通畅35条,占比15.84%。3D-HyCoSy诊断灵敏度、特异度、准确度、漏诊率、误诊率高于HSG,差异有统计学意义(P<0.05)。结论:3D-HyCoSy可有效诊断不孕症女性输卵管通畅性,在不孕症的诊断中具有重要价值。Objective:To analyze the value of transvaginal three-dimensional ultrasound hysterosalpingography(3D-HyCoSy)in the diagnosis of infertile tubal obstruction.Methods:A total of one hundred and thirteen patients with infertility tubal obstruction treated in Shaoguan Ruyuan Yao Autonomous County People's Hospital from January to December 2022 were selected as the study objects.All patients underwent 3D-HyCoSy and X-ray hysterography(HSG).Using the results of laparoscopy tubal fluidization as the"gold standard",the diagnostic efficacy of different angiography in infertility was compared.Results:There were 221 fallopian tubes in 113 infertile patients,of which 186 were smooth,accounting for 84.16%;there were 35 unpatency cases,accounting for 15.84%.The diagnostic sensitivity,specificity,accuracy,missed diagnosis rate and misdiagnosis rate of 3DHyCoSy were higher than those of HSG,and the difference was statistically significant(P<0.05).Conclusion:3D-HyCoSy can effectively diagnose the patency of infertile tubal obstruction in infertile women,and has important value in the diagnosis of infertility.

关 键 词：经阴道三维超声 子宫输卵管造影 不孕症 输卵管不通 

分 类 号：R71[医药卫生—妇产科学]