子宫输卵管超声造影在输卵管性不孕患者中的临床应用  

Clinical Application of Uterine Tubal Ultrasonography in Patients with Tubal Infertility

作　　者：黄烨 HUANG Ye(Department of Obstetrics and Gynecology,Xinyu Yinhe Hospital,Xinyu 338000,China)

机构地区：[1]新余银河医院妇产科,江西新余338000

出　　处：《中国医学创新》2024年第30期131-134,共4页Medical Innovation of China

基　　金：新余市科技计划项目(20233090974)。

摘　　要：目的:探究子宫输卵管超声造影在输卵管性不孕患者中的临床应用。方法:选取新余银河医院2021年1月—2023年3月收治的102例输卵管性不孕患者的病历资料进行回顾性研究,所有患者均进行腹腔镜直视下输卵管通液检查及超声引导下子宫输卵管造影术检查,以腹腔镜直视下输卵管通液的检查结果为参照,分析超声造影在初步诊断输卵管性不孕中的价值,并比较两种检查方法的不良反应发生率。结果:腹腔镜直视下输卵管通液检查结果显示,输卵管通畅114条,输卵管通而不畅62条,输卵管完全阻塞28条;子宫输卵管超声造影检查结果显示,输卵管通畅112条,输卵管通而不畅62条,输卵管完全阻塞30条。两种检查方法的输卵管通畅、通而不畅及阻塞的检查结果比较,差异均无统计学意义(P>0.05)。检查结束12 h后,两种检查方法的疼痛发生率比较,差异无统计学意义(P>0.05)。腹腔镜直视下输卵管通液检查的不良反应发生率(19.61%)高于子宫输卵管超声造影检查(8.82%)(P<0.05)。结论:与腹腔镜直视下输卵管通液检查相比,子宫输卵管超声造影对输卵管阻塞的检出效率较高,且患者的不良反应率较低。Objective:To explore the clinical application of hysterotubal contrast-enhanced ultrasound in patients with tubal infertility.Method:The medical records of 102 cases of tubal infertility patients admitted to Xinyu Yinhe Hospital from January 2021 to March 2023 were selected for retrospective study,and all the patients were examined by laparoscopic direct visualization of tubal fluids and ultrasound-guided uterine tubal ultrasonography,and the examination results of laparoscopic direct visualization of tubal fluids were used as a reference to analyze the value of ultrasonography in the value in the preliminary diagnosis of tubal infertility and to compare the incidence of adverse reactions between the two examination methods.Result:The results of laparoscopic visualization of tubal fluids showed that 114 tubes were fluent,62 tubes were not smooth,and 28 tubes were completely blocked,and the results of uterine tubal ultrasonography showed that 112 tubes were fluent,62 tubes were not smooth,and 30 tubes were completely blocked.There were no significant differences in the results of patency,obstruction and obstruction of fallopian tube between the two methods(P>0.05).Twelve hours after the end of the examination,there was no statistically significant difference in the incidence of pain between the two examination methods(P>0.05).The incidence of adverse reactions in laparoscopic direct visualization of tubal fluids(19.61%)was higher than that in uterotubal ultrasonography(8.82%)(P<0.05).Conclusion:Uterine tubal ultrasonography is more efficient in detecting tubal obstruction and reduces the incidence of adverse events in patients compared with direct laparoscopic tubal flushes.

关 键 词：子宫输卵管超声造影 输卵管性不孕 腹腔镜直视下输卵管通液 

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