经阴道子宫输卵管三维超声造影和X线子宫输卵管碘油造影在输卵管阻塞中的诊断价值  

Diagnostic value of transvaginal three-dimensional hysterosalpinx ultrasonography and X-ray hysterosalpinx iodoliography in fallopian tube obstruction

作　　者：姜颖双 张得志 刘彦春 JIANG Yingshuang;ZHANG Dezhi;LIU Yanchun(Department of Ultrasound,The First People's Hospital of Jinzhou District,Dalian,Liaoning,163000,China)

机构地区：[1]金州区第一人民医院超声科,辽宁大连163000

出　　处：《当代医学》2024年第22期68-71,共4页Contemporary Medicine

摘　　要：目的探讨经阴道子宫输卵管三维超声造影(3D-HyCoSy)和X线子宫输卵管碘油造影(HSG)在输卵管阻塞中的诊断价值。方法选取2019年11月至2021年12月于金州区第一人民医院超声科就诊的90例疑似输卵管阻塞患者作为研究对象,所有患者均行腹腔镜下通染液试验(laparoscopy and dye test,CLP)、经阴道子宫输卵管三维超声造影(three-dimensional hysterosalpingo-contrast sonography,3D-HyCoSy)和X线子宫输卵管碘油造影(hysterosalpinography,HSG)检查,以CLP为金标准,比较两种方式的诊断效能及图像优良率。结果90例疑似输卵管阻塞患者中,CLP检出阻塞42例,通畅48例;3D-HyCoSy对输卵管阻塞诊断符合率为92.86%,通畅诊断符合率为83.33%;X线HSG对输卵管阻塞诊断符合率为71.43%,通畅诊断符合率为77.08%。3D-HyCoSy检查诊断输卵管阻塞的灵敏度为92.86%,准确度为87.78%,均高于X线HSG检查的71.43%、74.44%,差异有统计学意义(P<0.05);3D-HyCoSy诊断特异度为83.33%,X线HSG的诊断特异度为77.08%,二者比较差异无统计学意义。3D-HyCoSy检查的图像优良率高于X线HSG检查,差异有统计学意义(P<0.05)。结论3D-Hy‐CoSy和X线HSG在输卵管阻塞的诊断中均有一定效能,但3D-HyCoSy对输卵管阻塞的诊断效能更佳,且具有较好的图像质量,值得临床推广应用。Objective To investigate the diagnostic value of transvaginal three-dimensional hysterosalpinx ultrasonography(3D-HyCoSy)and Xray hysterosalpinx iodoliography(HSG)in fallopian tube obstruction.Methods 90 patients suspected of tubal obstruction who visited the Ultrasound department of the First People's Hospital of Jinzhou District from November 2019 to December 2021 were selected as the study subjects,laparoscopic dye penetration test(CLP),3D HyCoSy and X-ray HSG were performed in all patients.Using CLP as the gold standard,the diagnostic efficiency and image excellence rate of the two methods were compared.Results Among 90 suspected patients with fallopian tube obstruction,CLP detected 42 cases of obstruction and 48 cases of patency;the diagnostic coincidence rate of 3D-HyCoSy for fallopian tube obstruction was 92.86%,and the diagnostic coincidence rate for fallopian tube patency was 83.33%;the diagnostic coincidence rate of X-ray HSG for fallopian tubal obstruction was 71.43%,and the diagnostic coincidence rate of fallopian tube patency was 77.08%.The sensitivity and accuracy of 3D HyCoSy examination for diagnosing fallopian tubal obstruction were 92.86%and 87.78%,respectively,which were higher than those of X-ray HSG examination(71.43%and 74.44%,respectively),and the differences were statistically significant(P<0.05);the diagnostic specificity of 3D HyCoSy was 83.33%,and the diagnostic specificity of X-ray HSG was 77.08%,there no statistically significant difference between the two method.The image quality rate of 3D Hy‐CoSy examination was higher than that of X-ray HSG examination,and the difference was statistically significant(P<0.05).Conclusion Both 3DHyCoSy and X-ray HSG have certain efficacy in the diagnosis of fallopian tube obstruction,but 3D-HyCoSy has better diagnostic efficiency for fallopian tube obstruction,and has better image quality,which is worthy of clinical application.

关 键 词：经阴道子宫输卵管三维超声造影 X线子宫输卵管碘油造影 输卵管阻塞 不孕症 诊断效能 

分 类 号：R71[医药卫生—妇产科学]