子宫输卵管超声造影在输卵管疾病中的诊断价值

The diagnostic value of hysterosalpingocontrast sonography in fallopian tube disease

目的分析子宫输卵管超声造影在输卵管疾病中的诊断价值。方法选取2018年1月—2019年4月在我院就诊的疑似输卵管阻塞不孕症患者72例为研究对象,所有患者均进行子宫输卵管超声造影检查和X线造影检查,以腹腔或宫腔镜检查结果为"金标准",分析宫输卵管超声造影与X造影对输卵管疾病的诊断价值。结果 72例(144条输卵管)经腹腔或宫腔镜检查共确诊输卵管阻塞124条,通畅20条;超声造影诊断灵敏度及准确度均高于X线造影,但差异无统计学意义(P>0.05)。结论子宫输卵管超声造影能够清晰显示输卵管通畅情况,具有较高的诊断准确率,可作为临床中输卵管疾病检查的首选方法。

Objective To analyze the value of hysterosalpingocontrast sonography (HyCoSy)in diagnosis of fallopian tube disease. Methods 72 patients with suspected oviduct obstructive infertility in the hospital from January 2018 to Apiil 2019 were selected as the subjects. All the cases were divided into two groups by random number table, with 36 cases in each group. Observation group was given HyCoSy, while control group was given X-ray radiography. The diagnostic accuracy of fallopian tube disease between the two groups was compared. Control group was given ultrasound contrast again before laparoscopy or salpingoscopy, and its coincidence rate with X-ray radiography was compared. Results In 72 cases (144 fallopian tubes), 124 fallopian tubes were diagnosed as obstructed by abdominal cavity or hysteroscopy, and 20 of them were unblocked.The diagnostic sensitivity and accuracy of ceus were higher than that of X-ray radiography, but the difference was not statistically significant (P>0.05). Conclusion HyCoSy can clearly show the patency of fallopian tube, and it has higher diagnostic accuracy, which can be used as an effective method for clinical detection of fallopian tube disease.