摘要
本文探讨在输卵管性不孕中的诊断中,经阴道子宫输卵管四维超声造影(4D-HyCoSy)和X线下子宫输卵管造影(HSG)的差异。选取92例疑似输卵管性不孕患者,给予4D-HyCoSy、HSG和腹腔镜通染液实验(LSC)检查,同时在4D-HyCoSy检查时进行宫腔压力测量。以LSC检查为金标准,4D-HyCoSy检查与LSC检查Kappa值为0.810,P<0.05;HSG检查与LSC检查Kappa值为0.905,P<0.05;4D-HyCoSy、HSG对输卵管状况的诊断准确率比较,差异无统计学意义(P>0.05);输卵管梗阻患者4D-HyCoSy、HSG检查时宫腔压力峰值明显高于通而不畅和通畅患者(P<0.05)。在诊断输卵管性不孕中,4D-HyCoSy和HSG对于输卵管通畅性均有较高的诊断价值。
This paper discussed the differences between four-dimensional hyterosalpingo-contrast-sonography(4D-HyCoSy)and hysterosalpingography(HSG)under X-ray in the diagnosis of tubal infertility.92 patients with suspected tubal infertility were selected,they were examined by 4D-HyCoSy,HSG and laparoscopic staining solution experiment(LSC),and the uterine pressure was measured during the 4D-HyCoSy examination.LSC examination was taken as the gold standard,and the Kappa value of 4D-HyCoSy and LSC was 0.810(P<0.05).The Kappa value of HSG and LSC was 0.905(P<0.05).There was no significant difference in the diagnostic accuracy of 4D-HyCosy and HSG for tubal status(P>0.05).The peak values of intrauterine pressure in patients with tubal obstruction during 4D-HyCoSy and HSG were significantly higher than those in patients with partially obstructed and unobstructed(P<0.05).In the diagnosis of tubal infertility,4D-HyCoSy and HSG have high diagnostic value in the judgement of tubal patency.
作者
王慕喆
李向红
邢秀月
王丽娜
周叶
李晓丽
WANG Muzhe;LI Xianghong;XING Xiuyue;WANG Lina;ZHOU Ye;LI Xiaoli(Department of Gynecology,QionghaiPeople’s Hospital,Qionghai 571400,Hainan,P.R.China;Department of Ultrasound,Qionghai People’s Hospital,Qionghai 571400,Hainan,P.R.China)
出处
《影像科学与光化学》
CAS
北大核心
2022年第6期1370-1374,共5页
Imaging Science and Photochemistry
关键词
经阴道子宫输卵管四维超声造影
子宫输卵管造影
输卵管性不孕
transvaginal four-dimensional contrast-enhanced ultrasound of uterus and fallopian tube
hysterosalpingography
tubal infertility
