摘要
目的:分析经阴道实时三维超声子宫输卵管造影(3D-HyCo-Sy)用于不孕症诊断的临床价值。方法:选择2017年10月—2018年9月治疗的不孕症患者102例,均接受3D-HyCo-Sy和腹腔镜通染液检查(CLP)。观察3D-HyCo-Sy、CLP检查的输卵管通畅性及疼痛程度,并以CLP结果作为金标准,计算3D-HyCo-Sy诊断准确率、特异度、敏感度。结果:102例患者中输卵管共204条,其中CLP检查输卵管通畅62条,通而不畅53条,阻塞89条;3D-HyCo-Sy检查输卵管通畅56条,通而不畅60条,阻塞88条。以CLP结果作为金标准,3D-HyCo-Sy诊断准确率、特异度、敏感度分别为85.48%、97.89%、94.12%;3D-HyCo-Sy组视觉模拟评分法(VAS)评分低于CLP组,差异有统计学意义(P<0.05)。结论:3D-HyCo-Sy用于不孕症诊断中价值较高,利于提升输卵管通畅性诊断效能,为临床诊治提供可靠信息。
Objective:To analyze the clinical value of transvaginal real-time three-dimensional hysterosalpingo-contrastsonography(3D-HyCo-Sy)in the diagnosis of infertility.Methods:All 102 patients with infertility treated in the hospital from October 2017 to September 2018 were selected,and they were given 3D-HyCo-Sy,laparoscopy and dye test(CLP).The tubal patency and pain degree were examined by 3D-HyCo-Sy and CLP.The results of CLP were taken as the gold standard,the diagnostic accuracy,specificity,sensitivity of 3D-HyCo-Sy were calculated.Results:Among the 204 fallopian tubes in 102 patients,there were 62 unobstructed tubes,53 partially obstructed tubes and 89 completely obstructed tubes;3D-HyCo-Sy examination showed that there were 56 unobstructed tubes,60 partially obstructed tubes and 88 completely obstructed tubes.The results of CLP examination were taken as the gold standard,the diagnostic accuracy,specificity,sensitivity of 3D-HyCo-Sy were 85.48%,97.89%and 94.12%.The VAS score of 3D-HyCo-Sy group was lower than CLP group(P<0.05).Conclusion:3D-HyCo-Sy in the diagnosis of infertility has higher application value,it can increase diagnostic efficiency of tubal patency,which can provide reliable information for clinical diagnosis and treatment.
作者
王亚
WANG Ya(Chinese Medicine Hospital of Dengfeng,Dengfeng 452470,China)
出处
《临床医药实践》
2019年第10期762-765,共4页
Proceeding of Clinical Medicine
关键词
不孕症
经阴道实时三维超声子宫输卵管造影
诊断准确率
疼痛
infertility
transvaginal real-time three-dimensional hysterosalpingo-contrastsonography
diagnostic accuracy
pain