经阴道子宫输卵管三维超声造影检查在不孕症患者输卵管通畅性诊断中的价值  

Value of three-dimensional hysterosalpingo-contrast sonography in diagnosis of tubal patency in infertile patients

作　　者：卜杨 BU Yang(Department of Ultrasound Medicine of Zhengzhou 460 Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州四六〇医院超声医学科,河南郑州450000

出　　处：《中国民康医学》2024年第17期130-133,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察经阴道子宫输卵管三维超声造影检查在不孕症患者输卵管通畅性诊断中的价值。方法:选取2021年6月至2023年6月该院收治的150例不孕症患者进行前瞻性研究,均行经阴道子宫输卵管三维超声造影检查、X线下子宫输卵管造影检查及腹腔镜下亚甲蓝通液术检查,以腹腔镜下亚甲蓝通液术检查为金标准,比较经阴道子宫输卵管三维超声造影检查与X线下子宫输卵管造影检查在不孕症患者输卵管不畅诊断中的效能,并采用Kappa一致性检验分析经阴道子宫输卵管三维超声造影检查、X线下子宫输卵管造影检查与腹腔镜下亚甲蓝通液术检查在输卵管通不畅诊断中的一致性。结果:腹腔镜下亚甲蓝通液术检查结果显示,150例不孕症患者300条输卵管中,202条输卵管不畅,98条输卵管畅通;经阴道子宫输卵管三维超声造影检查诊断输卵管不畅的灵敏度、准确度、阴性预测值高于X线下子宫输卵管造影检查,漏诊率低于X线下子宫输卵管造影检查,差异均有统计学意义(P<0.05);经阴道子宫输卵管三维超声造影检查与腹腔镜下亚甲蓝通液术检查诊断输卵管不畅的一致性(Kappa=0.878)高于X线下子宫输卵管造影检查与腹腔镜下亚甲蓝通液术检查诊断输卵管不畅的一致性(Kappa=0.698)。结论:经阴道子宫输卵管三维超声造影检查诊断输卵管不畅的灵敏度、准确度、阴性预测值以及与腹腔镜下亚甲蓝通液术的诊断一致性均高于X线下子宫输卵管造影检查,漏诊率低于X线下子宫输卵管造影检查。Objective:To observe value of three-dimensional hysterosalpingo-contrast sonography in diagnosis of tubal patency in infertile patients.Methods:A prospective study was conducted on 150 patients with infertility admitted to the hospital from June 2021 to June 2023.All patients underwent three-dimensional hysterosalpingo-contrast sonography,X-ray hysterosalpingography and laparoscopic methylene blue hydrotubation.Taking the results of laparoscopic methylene blue hydrotubation as the gold standard,the efficiencies of threedimensional hysterosalpingo-contrast sonography and X-ray hysterosalpingography in the diagnosis of fallopian tube obstruction in the infertile patients was compared.Kappa consistency test was used to analyze the consistency of three-dimensional hysterosalpingo-contrast sonography,X-ray hysterosalpingography and laparoscopic methylene blue hydrotubation in the diagnosis of fallopian tube obstruction.Results:The results of laparoscopic methylene blue hydrotubation showed that among the 300 fallopian tubes of the 150 infertility patients,202 fallopian tubes were obstructed and 98 fallopian tubes were unobstructed.The sensitivity,the accuracy and the negative predictive value of three-dimensional hysterosalpingo-contrast sonography in the diagnosis of fallopian tube obstruction were higher than those of X-ray hysterosalpingography,the rate of missed diagnosis was lower than that of X-ray hysterosalpingography,and the differences were statistically significant(P<0.05).The consistency of transvaginal three-dimensional hysterosalpingography and laparoscopic methylene blue hydrotubation(Kappa=0.878)was higher than that of X-ray hysterosalpingography and laparoscopic methylene blue hydrotubation in the diagnosis of fallopian tube obstruction(Kappa=0.698).Conclusions:The sensitivity,the accuracy and the negative predictive value of three-dimensional hysterosalpingo-contrast sonography as well as its diagnostic consistency with laparoscopic methylene blue hydrotubation in the diagnosis of fallopian tube obst

关 键 词：经阴道子宫输卵管三维超声造影 X线下子宫输卵管造影 腹腔镜下亚甲蓝通液术 检查 不孕症 输卵管不畅 诊断效能 

分 类 号：R445[医药卫生—影像医学与核医学]