经阴道二维超声与实时三维超声造影诊断输卵管性不孕价值

Value of transvaginal real time three dimensional hysterosalpingo contrast sonography combined with two dimensional ultrasound for diagnosing infertility of women caused by the tubal factors

目的:探讨经阴道实时三维超声造影(RT-3D-HyCoSy)与二维超声造影对女性输卵管性不孕症的诊断价值。方法:选取2020年12月-2023年12月本院收治的90例疑似输卵管性不孕症女性为研究对象,根据不同检查方式分为二维超声组(经阴道二维超声子宫输卵管造影,n=45)和三维超声组(RT-3D-HyCoSy子宫输卵管造影,n=45);记录两种检查过程中女性疼痛反应[视觉模拟评分法(VAS)]及不良反应发生情况,及其对女性不孕症的诊断价值。结果:三维超声组检查时间(15.08±2.07min)、VAS评分(3.01±0.54分)均低于二维超声组(21.12±2.68min、5.16±0.78分),不良反应总发生率(2.2%)低于二维超声组(26.7%)诊断准确率(97.8%)高于二维超声组(75.6%),误诊率(2.2%)、漏诊率(0)均低于二维超声组(15.6%、8.9%)(均P<0.05)。结论:RT-3D-HyCoSy诊断女性输卵管性不孕效果优于经阴道二维超声造影,还可缩短检查时间,减轻患者检查时疼痛,降低不良反应发生。

Objective:To investigate the diagnostic value of transvaginal real-time three-dimensional hysterosalpingo-contrast sonography(RT-3D-HyCoSy)combined with transvaginal two-dimensional ultrasound(TDU)for women with infertility caused by the tubal factors.Methods:90 infertility women caused by the suspected tubal factors were selected from December 2020 to December 2023 as the research subjects.According to the different examination methods,these women were divided into control group(45 cases with transvaginal TDU)and experimental group(45 cases with transvaginal RT-3D-HyCoSy combined with TDU).The pain degree evaluated by visual analogue scale(VAS)and the occurrence of adverse reactions of the women in the two groups during the two examinations were recorded.The diagnostic value of RT-3D-HyCoSy examination for the infertility of the women was analyzed.Results:The examination time(15.08±2.07 min)and the VAS score(3.01±0.54 points)of the women in the experimental group were significantly lower than those(21.12±2.68 min and 5.16±0.78 points)of the women in the control group.The total incidence of adverse reactions(2.2%)of the women in the experimental group was significantly lower than that(26.7%)of the women in the control group,and the diagnostic accuracy(97.8%)of the women in the experimental group was significantly higher than that(75.6%)of the women in the control group.The misdiagnosis rate(2.2%)and the missed diagnosis rate(0)of the women in the experimental group were significantly lower than those(15.6%and 8.9%)of the women in the control group(all P<0.05).Conclusion:The transvaginal RT-3D-HyCoSy combined with TDU for diagnosing the infertility of the women is superior to that of the transvaginal TDU,and which can also short the examination time,relieve the pain and reduce the incidence rates of adverse reactions of the women during examination.