子宫输卵管声学造影和子宫输卵管造影在输卵管堵塞性不孕检测中的相关性分析

Correlation of sonosalpingography and hysterosalpingogram for infertility detection

目的:本研究主要分析子宫输卵管声学造影和子宫输卵管造影在输卵管堵塞性不孕检测中的相关性。方法:通过对女性月经周期的第7d和第12d的子宫输卵管声学造影和子宫输卵管造影分析来评估女性的不孕不育。子宫输卵管造影使用西门子荧光透视机获得,跟踪对比流量,评估输卵管通畅。子宫输卵管声学造影使用西门子ACUSON X300,用经阴道探头(4~9MHz)获得,缓慢输注生理盐水,评价子宫内膜腔。结果:子宫输卵管声学造影(SSG)和子宫输卵管造影(HSG)一共评估了114根输卵管。在HSG上,114根输卵管中79根是通畅的,35根显示是阻塞的;在SSG上,114根输卵管中82根是通畅的,32根显示是阻塞的。这两种技术的结果具有显著的相关性,Kappa值为0.913,HSG和SSG之间有非常好的一致性。结论:HSG和SSG之间0.913的一致性说明SSG在评价输卵管通畅有效性方面至少与HSG相似或稍微更好,有可能取代HSG作为一线门诊不孕诊断和治疗的手术。

Objectives： To evaluate the correlation of sonosalpingography and hysterosalpingogram for infertility detection. Methods： Females with infertility were evaluated by hysterosalpingography（ HSG） and sonosalpingography（ SSG） between the 7 th and 12 th day of menstrual cycle. HSG was carried out using Siemens fluoroscopy machine. The amount of menstruation was observed,and tubal patency was assessed. SSG was carried out using Siemens ACUSON X300,with transvaginal probe（ 4 ~ 9 MHz）. Normal saline was infused slowly,and the endometrial cavity was evaluated. Results： 114 tubes were evaluated by HSG and SSG. By HSG,out of 114,79 tubes were unobstructed,and 35 tubes showed blockage. By SSG,82 tubes were unobstructed,and 32 tubes showed blockage.Results of both the techniques were correlated by Kappa value which came out to be 0. 913. There was consistency between SSG and HSG. Conclusion： There is 91. 3% consistency（ KAPPA value = 0. 913,Standard error =0. 424,0. 95 CI = 0. 8358-1） between SSG and HSG which suggests that SSG is similar to HSG in its effectiveness for evaluating tubal patency and has the potential to replace HSG as routine,first-line outpatient infertility investigation.