动态分析数字减影子宫输卵管造影对输卵管不同部位阻塞的评价

Evaluations of different parts of the fallopian tube obstruction with dynamic analysis in the hysterosalpingography(HSG) of digital subtraction Angiography

目的:评价动态分析数字减影子宫输卵管造影的方法对输卵管不同部位阻塞的诊断价值。方法:选择86例临床诊断不孕症的患者,先后行数字减影子宫输卵管造影和腹腔镜检查,通过动态观察影像资料,对其结果进行分析。结果:动态分析方法诊断输卵管近端梗阻的灵敏度为84.61%,特异度为93.89%,诊断输卵管积水的灵敏度为88.23%,特异度为98.52%,诊断输卵管伞端粘连及周围粘连的灵敏度为62.89%,特异度为79.45%。结论:采用动态分析的方法,通过直接观察输卵管显影的整个连续、动态的过程,可提高造影诊断的准确性。

Objective： To evaluate the diagnostic value of different parts of the fallopian tube obstruction by using the method of dynamic analysis in hysterosalpingo angiography. Methods： 86 cases diagnosed of infertility were pe graphy （HSG） of digital subtraction rformed HSG of DSA, and the imaging data and imaging results were dynamically analyzed. Results： The respective degree of diagnosie sensitivity and specificity in proximal fallopian tube obstruction by using the method of dynamic analysis was 84.62 % and 93.89% the dignostic sensitivity and specificity degrees in hydrosalpinx was 88.23% and 98.52% respectively; and the respective dignostic sensitivity and specificity degree in adhesion of tubal fimbria and peritubal adhesion was 62. 89% and 79.45%. Conclusion： By using the method of dynamic analysis, we can observe directly the continuous and dynamic development of the fallopian tube, and can improve the accuracy of diagnosic angiography.