经阴道多模态超声造影技术对输卵管通畅性诊断效果分析

Analysis of the effect of multir mode contrast enhanced ultrasound for diagnosing the patency of fallopian tube

目的:探讨经阴道多模态子宫输卵管超声造影(HyCoSy)诊断输卵管通畅性效果。方法:收集2020年1月-2022年1月在本院就诊的不孕症患者248例临床资料,应用经阴道多模态HyCoSy及经阴道单模态HyCoSy检查评估输卵管通畅度,分析各模态参数对输卵管通畅性检查的诊断效率。结果:纳入248例患者均顺利完成检查,496条输卵管造影成功,其中415条通畅,81条阻塞(右侧28例、左侧33例、双侧10例)。经阴道多模态HyCoSy和经阴道单模态HyCoSy对输卵管通畅性的诊断效率不同,4D单模态时成功诊断464条输卵管(93.5%),无法诊断32条(6.5%);4D模态联合3D、2D及HI多模态检查,496条均成功诊断(100.0%)(χ^(2)=33.067,P=0.000)。结论:多模态经阴道超声造影技术参数联合诊断提高了诊断效率,对输卵管通畅性的诊断具有重要的临床应用价值。

Objective:To investigate the effect of multimodal transvaginal hysterofallopian tube contrast ultrasonogra-phy(HyCoSy)for diagnosing the patency of fallopian tube.Methods:The clinical data of 248 infertile patients from January 2020 to January 2022 were collected in this study.The patency of fallopian tube of these patients were evalua-ted by transvaginal multimodal HyCoSy and by transvaginal single-modal HyCoSy,and the diagnostic efficiencies of the modal parameters of transvaginal multimodal HyCoSy and transvaginal single-modal HyCoSy were analyzed.Re-sults:248 included patients all had completed the examination with salpingography of 496 fallopian tubes successfully,including 415 fallopian tubes with patency and 81 fallopian tubes with obstructed.In the fallopian tubes with obstruc-ted,there were 28 tubes on the right side,33 tubes on the left side,and 10 tubes on both sides.The diagnostic effi-ciency for the patency of fallopian tube was different between the transvaginal multimodal HyCoSy and the transvaginal single-modal HyCoSy.As for 4D single mode,the situations of 464(93.5%)fallopian tubes were sucessfully diag-nosed,while the situations of 32(6.5%)fallopian tubes could not be diagnosed.The 4D mode combined with multimo-dal HyCoSy of 3D,2D,and HI had the sessfully diagnosed rate(496 tubes,100.0%)for the patency of fallopian tubes(χ^(2)=33.067,P=0.000).Conclusion:The eficiency of the combined technical parameters of multimodal HyCo-Sy for diagnosing fallopian tube patency has increased,which has important clinical application value for diagnosing the fallopian tube patency.