实时三维超声子宫输卵管造影评估不孕症患者输卵管显影时间

Real-time three-dimensional hysterosalpingo-contrast-sonography in evaluation of appearing time of fallopian tube in fertility patients

目的分析不孕症患者实时三维超声子宫输卵管造影（RT-3D-HyCoSy）中输卵管显影时间,以评价输卵管通畅性。方法回顾性分析同时接受RT-3D-HyCoSy和宫（腹）腔镜检查,并经宫（腹）腔镜检查证实的不孕症患者50例,计录输卵管显影时间,并进行统计学分析。结果50例患者中双侧通畅27例（27/50,54.00%）;单侧通畅15例（15/50,30.00%）;双侧梗阻8例（8/50,16.00%）。通畅输卵管69条,梗阻输卵管31条。双侧通畅患者左、右侧、单侧通畅患者通畅侧输卵管显影时间差异无统计学意义（χ^2=-5.12,P=0.08）;双侧梗阻患者左、右侧、单侧通畅患者梗阻侧输卵管显影时间差异无统计学意义（χ^2=-2.81,P=0.25）。69条通畅输卵管显影时间为1.67-31.73s（中位数6.68s）,31条梗阻输卵管显影时间为0-25.05s（中位数1.67s）,梗阻输卵管显影时间小于通畅输卵管显影时间,差异有统计学意义（Z=6.029,P〈0.01）。结论 RT-3D-HyCoSy可用以准确计量不孕症患者输卵管显影时间,为评估输卵管通畅性提供了新的参考依据。

Objective To analyze the appearing time of fallopian tube by real-time three-dimensional hysterosalpingo-contrast sonography（RT-3D-HyCoSy）and evaluate the visibility and patency of fallopian tube in infertility patients.Methods A retrospective analysis was made in 50 infertility patients who underwent both RT-3D-HyCoSy and hysteroscopy combined with laparoscopy.All cases were confirmed by hysteroscopy combined with laparoscopy.The appearing time of fallopian tube was measured and compared statistically.Results There were 27cases（27/50,54.00%）of bilateral unobstructed fallopian tube,15cases（15/50,30.00%）of unilateral unobstructed fallopian tube,and 8cases（8/50,16.00%）of bilateral obstructed fallopian tube.Totally 69 fallopian tubes were unobstructed,and 31 were obstructed.The differences of appearing time of unobstructed fallopian tubes had no statistical significance（χ^2=-5.12,P=0.08）,as well as the obstructed fallopian tubes（χ^2=-2.81,P=0.25）.The appearing time of 69 unobstructed fallopian tubes was 1.67—31.73s（the median was 6.68s）.The appearing time of 31 obstructed fallopian tubes was 0—25.05s（the median was1.67s）.The appearing time of obstructed fallopian tubes was less than that of the unobstructed tube（Z=6.029,P〈0.01）.Conclusion RT-3D-HyCoSy can be used to measure the appearing time of fallopian tubes precisely,which provides a new reference for evaluating the visibility and patency of fallopian tube in infertility patients.