子宫输卵管四维超声造影在不孕症诊断中的应用研究  

Application Study of Four⁃dimensional Contrast⁃enhanced Ultrasound of Uterus and Fallopian Tubes in the Diagnosis of Infertility

作　　者：杜云艳 吴群才 刘宋伟 Du Yunyan;Wu Quncai;Liu Songwei(Zhangzhou Zhengxing Hospital,Zhangzhou,Fujian 363000)

机构地区：[1]漳州正兴医院,福建漳州363000

出　　处：《现代医用影像学》2024年第8期1507-1511,共5页Modern Medical Imageology

摘　　要：目的:本研究旨在探讨子宫输卵管四维超声造影在不孕症诊断中的应用价值,并与传统输卵管造影进行比较分析。方法:选取106例不孕症患者作为研究对象,观察组接受子宫输卵管四维超声造影检查,对照组接受传统输卵管造影(X线下输卵管碘油造影)检查,观察两组患者诊断灵敏度、特异度、PPV、NPV、输卵管通畅性的检查结果及患者满意度。结果:结果显示,子宫输卵管四维超声造影在灵敏度、特异度、PPV和NPV方面略高于传统造影,差异具有统计学意义(P<0.05);子宫输卵管四维超声造影的患者满意度高于传统造影,差异具有统计学意义(P<0.05)。四维超声造影组的样本量为53,其中通畅的有33例,通而不畅的有11例,阻塞的有9例。传统造影组的样本量也为53,其中通畅的有27例,通而不畅的有13例,阻塞的有13例。在通畅方面,四维超声造影组的通畅率高于传统造影组(33/53 vs. 27/53),且差异具有统计学意义(χ^(2)=5.281,P<0.05);在通而不畅方面,两组之间的差异没有统计学意义(χ^(2)=0.776,P>0.05);在阻塞方面,四维超声造影组的阻塞率低于传统造影组(9/53 vs. 13/53),且差异具有统计学意义(χ^(2)=3.291,P<0.05)。结论:通过对比两组数据,发现子宫输卵管四维超声造影在不孕症诊断中具有准确性、可靠性及与传统方法的比较优势。同时,该方法具有无创性、无辐射、明确的图像显示、多参数评估等优点。因此,子宫输卵管四维超声造影可以作为一种新的不孕症诊断方法,为临床医生提供可靠的诊断依据。其在不孕症治疗中有重要的意义和广阔的前景。Objective:This study aims to explore the application value of four⁃dimensional contrast⁃enhanced ultrasound of the uterus and fallopian tubes in the diagnosis of infertility,and to compare and analyze it with traditional hysterosalpingography.Method:106 infertile patients were selected as the study subjects.The observation group received four⁃dimensional ultrasound contrast examination of the uterus and fallopian tubes,while the control group received traditional fallopian tube contrast examination(X⁃ray hysterosalpingography with iodinated oil).The diagnostic sensitivity,specificity,PPV,NPV,fallopian tube patency test results,and patient satisfaction were observed in both groups of patients.Results:The results showed that the sensitivity,specificity,PPV,and NPV of hysterosalpingography were slightly higher than those of traditional imaging,and the differences were statistically significant(P<0.05);The patient satisfaction with four⁃dimensional ultrasound contrast imaging of the uterus and fallopian tubes was higher than that with traditional contrast imaging,and the difference was statistically significant(P<0.05).The sample size of the four⁃dimensional contrast⁃enhanced ultrasound group is 53,including 33 cases with patency,11 cases with patency but not patency,and 9 cases with obstruction.The sample size of the traditional imaging group is also 53,with 27 cases being unobstructed,13 cases being unobstructed,and 13 cases being obstructed.In terms of patency,the four⁃dimensional ultrasound contrast group had a higher patency rate than the traditional contrast group(33/53 vs.27/53),and the difference was statistically significant(χ^(2)=5.281,P<0.05);There is no statistically significant difference between the two groups in terms of smoothness and non smoothness(χ^(2)=0.776,P>0.05);In terms of obstruction,the obstruction rate of the 4D contrast⁃enhanced ultrasound group was lower than that of the traditional contrast⁃enhanced ultrasound group(9/53 vs.13/53),and the difference was statisticall

关 键 词：子宫输卵管四维超声造影 不孕症 传统造影 

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