RT–4D–HyCoSy联合3D–TVS检查对不孕症女性输卵管通透性的诊断价值

Diagnostic Value of RT-4D-HyCoSy Combined with 3D-TVS on Tubal Permeability in Infertile Women

目的:探讨经阴道实时四维输卵管超声造影(RT–4D–HyCoSy)联合经阴道三维超声(3D–TVS)检查对不孕症女性患者输卵管通透性的诊断价值。方法:选取2020年11月至2021年11月就诊于福州伽禾伽美医院的不孕症患者121例,共诊断242条输卵管,所有患者均进行腹腔镜下通液术、RT–4D–HyCoSy及3D–TVS检查,以腹腔镜下通液术检查结果为“金标准”,比较RT–4D–HyCoSy、3D–TVS单独及联合检查对于不孕症患者输卵管阻塞的诊断结果及诊断效能,两种方法单独及联合检查输卵管通透性检出率,并分析RT–4D–HyCoSy检查的不良反应。结果:腹腔镜下通液术检查结果显示,242条输卵管共阻塞54条,其中通而不畅86条,通畅102条;与RT–4D–HyCoSy、3D–TVS单独检查相比,RT–4D–HyCoSy联合3D–TVS联合检查诊断灵敏度90.74 %、准确率96.69 %较高,漏诊率9.26 %较低,差异均具有统计学意义(P<0.05);与RT–4D–HyCoSy、3D–TVS单独检查相比,联合检查对于输卵管通透性检出率更高,差异具有统计学意义(P<0.05);与经腹腔镜下通液术不良反应发生率20.66 %(25/121)相比,RT–4D–HyCoSy检查的不良反应发生率8.26 %(10/121)更低,差异具有统计学意义(P<0.05)。结论:RT–4D–HyCoSy联合3D–TVS检查对不孕症女性患者输卵管通透性的诊断价值高于单独检查,其可有效提高诊断效能及输卵管通透性检出率,能为临床早期诊断、制定治疗方案提供更可靠的依据。

Objective To investigate the diagnostic value of transvaginal real-time four-dimensional fallopian tube contrast ultrasonography (RT-4D-HyCoSy) combined with transvaginal three-dimensional ultrasound (3D-TVS) in infertile female patients with tubal permeability.Methods A total of 242 fallopingtubes were diagnosed in 121 infertile patients admitted to Fuzhou Jiahe Jiamei Hospital from November 2020 to November 2021.All patients underwent laparoscopic fluidectomy,RT-4D-HyCoSy and 3D-TVS.The results of laparoscopic fluidectomy were considered as the "gold standard".The diagnostic results and diagnostic efficacy of RT-4D-HyCoSy and 3D-TVS alone and in combination for tubal obstruction in infertile patients were compared.The detection rate of tubal permeability was examined by the two methods alone and in combination,and the adverse reactions of RT-4D-HyCoSy were analyzed.Results The results of laparoscopy showed that 54 of 242 fallopian tubes were obstructed,of which 86 were obstructed and 102 were unobstructed.Compared with RT-4D-HyCoSy and 3D-TVS alone,RT-4D-HyCoSy combined with 3D-TVS had higher diagnostic sensitivity of 90.74%,higher accuracy of 96.69%,and lower missed diagnosis rate of 9.26%,with statistically significant differences (P < 0.05).Compared with RT-4D-HyCoSy and 3D-TVS alone,the detection rate of tubal permeability was higher by combined examination,and the difference was statistically significant (P < 0.05).The incidence of adverse reactions in RT-4D-HyCoSy was 8.26% (10/121) lower than 20.66% (25/121) of the laparoscopy,and the difference was statistically significant (P < 0.05).Conclusion The diagnostic value of RT-4D-HyCoSy combined with 3D-TVS examination is significantly higher than that of single examination,which can effectively improve the diagnostic efficiency and detection rate of tubal permeability,and has important significance for early clinical diagnosis and treatment planning.