四维子宫输卵管超声造影技术(4D-HyCoSy)联合宫腔水造影(SIS)对不孕症患者的输卵管通畅及宫腔粘连的诊断价值

The Diagnostic Value of Four-dimensional Uterine Tubal Ultrasound(4D-HyCoSy)Combined with Saline Infusion Sonography(SIS)for Tubal Patency and Intrauterine Adhesion in Infertile Patients

目的:分析不孕症患者应用四维子宫输卵管超声造影检查(4D-HyCoSy)和宫腔水造影检查(SIS)的临床意义,分析两种方法联合应用对输卵管通畅度、宫腔粘连的诊断准确率、灵敏度和特异度。方法:在宁国市人民医院于2021年4月至2024年1月间收治的不孕症患者中,选取106例进行研究。所有患者均接受4D-HyCoSy和SIS检查。对比分析这两种技术及其联合应用在诊断输卵管通畅度和宫腔粘连中的准确性。结果:4D-HyCoSy检查+SIS检查对输卵管通畅度的诊断准确率、灵敏度和特异度均高于单一4D-HyCoSy检查的诊断准确率、灵敏度和特异度(P<0.05);在宫腔粘连的诊断准确率、灵敏度、特异度方面,4D-HyCoSy检查的诊断效能最低,SIS检查居中,4D�HyCoSy检查+SIS检查的诊断效能最高(P<0.05);此外,患者的不良反应轻微,仅有4.55%的患者出现轻微不适,未经特殊处理即自行缓解。结论:4D-HyCoSy和SIS在不孕症的诊断中各具优势,联合应用这两种技术能显著提高对输卵管通畅度以及宫腔粘连状况的诊断准确率,为临床治疗提供有力的指导。建议未来的研究进一步探讨这两种技术在不孕症诊断中的优化应用及潜在的临床推广价值。

Objective:To study the diagnostic value of four-dimensional uterine tubal ultrasound(4D-HyCoSy)and Saline Infusion Sonography(SIS)for tubal patency and intrauterine adhesion in infertile patients.Methods:Select 106 infertile patients treated in our hospital from April 2021 to January 2024 as the study subjects,all patients are in preoperative four-dimensional uterine uterine tubal ultrasound angiography and intrauterine adhesion fluid contrast examination,using intraoperative hysteroscopy and laparoscopic exploration results as the gold standard for diagnosis,comparing the diagnostic accuracy,sensitivity,and specificity of different methods in assessing tubal patency and intrauterine adhesion.Results:The diagnostic accuracy,sensitivity and specificity of 4D-HyCoSy+SIS were higher than that of single 4D-HyCoSy(P<0.05);in terms of intrauterine adhesion,4D-HyCoSy was the lowest,SIS was the middle,and 4D-HyCoSy+SIS was the highest(P<0.05);only 4.55%of patients in this group had mild discomfort.Conclusion:4D-HyCoSy examination and SIS examination in the diagnosis of infertility patients have advantages,4D-HyCoSy examination for the diagnosis of uterine tubal patency accuracy is high,and SIS examination for the diagnosis of intrauterine adhesion,the combined application can improve the diagnosis of uterine tubal patency and cervical adhesion,guide the clinical treatment,worth application.