国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
5期
688-691
,共4页
不孕症%经阴道%三维、子宫输卵管造影%超声检查
不孕癥%經陰道%三維、子宮輸卵管造影%超聲檢查
불잉증%경음도%삼유、자궁수란관조영%초성검사
Infertility%Transvaginal%Dimensional%Hysterosalpingography%Ultrasound
目的 观察经阴道三维子宫输卵管超声造影(3D-HyCOSy)在不孕症中的应用价值.方法 将我院诊断的原发性与继发性不孕症患者52例随机分为两组,每组各26例,3D-HyCOSy组与X线子宫输卵管造影(HSG)组,并与腹腔镜检查结果进行自身对照比较分析.结果 3D-HyCOSy组26例52条输卵管通畅36条占34.62％,通而不畅31条占29.81％,阻塞37条占35.58％.HSG组26例52条诊断输卵管通畅27条占25.96％,通而不畅29条占27.88％,阻塞48条占46.15％.经腹腔镜检查提示3D-HyCOSy组符合率为(80.39±2.5)％,而HSG组为(59.08±5.73)％,两组相比较差异有统计学意义(P＜0.05).结论 3D-HyCOSy诊断不孕症是一种简便、有效、经济、安全、可靠、无辐射又可重复观察等优点,对子宫宫腔病变和输卵管的通畅性的诊断及鉴别明显优于传统的HSG.
目的 觀察經陰道三維子宮輸卵管超聲造影(3D-HyCOSy)在不孕癥中的應用價值.方法 將我院診斷的原髮性與繼髮性不孕癥患者52例隨機分為兩組,每組各26例,3D-HyCOSy組與X線子宮輸卵管造影(HSG)組,併與腹腔鏡檢查結果進行自身對照比較分析.結果 3D-HyCOSy組26例52條輸卵管通暢36條佔34.62％,通而不暢31條佔29.81％,阻塞37條佔35.58％.HSG組26例52條診斷輸卵管通暢27條佔25.96％,通而不暢29條佔27.88％,阻塞48條佔46.15％.經腹腔鏡檢查提示3D-HyCOSy組符閤率為(80.39±2.5)％,而HSG組為(59.08±5.73)％,兩組相比較差異有統計學意義(P＜0.05).結論 3D-HyCOSy診斷不孕癥是一種簡便、有效、經濟、安全、可靠、無輻射又可重複觀察等優點,對子宮宮腔病變和輸卵管的通暢性的診斷及鑒彆明顯優于傳統的HSG.
목적 관찰경음도삼유자궁수란관초성조영(3D-HyCOSy)재불잉증중적응용개치.방법 장아원진단적원발성여계발성불잉증환자52례수궤분위량조,매조각26례,3D-HyCOSy조여X선자궁수란관조영(HSG)조,병여복강경검사결과진행자신대조비교분석.결과 3D-HyCOSy조26례52조수란관통창36조점34.62％,통이불창31조점29.81％,조새37조점35.58％.HSG조26례52조진단수란관통창27조점25.96％,통이불창29조점27.88％,조새48조점46.15％.경복강경검사제시3D-HyCOSy조부합솔위(80.39±2.5)％,이HSG조위(59.08±5.73)％,량조상비교차이유통계학의의(P＜0.05).결론 3D-HyCOSy진단불잉증시일충간편、유효、경제、안전、가고、무복사우가중복관찰등우점,대자궁궁강병변화수란관적통창성적진단급감별명현우우전통적HSG.
Objective To explore the clinical value of transvaginal three-dimensional hysterosalpingography ultrasound angiography (3D-HyCOSy) infertility.Methods The 52 patients with primary and secondary infertility,which were diagnosed in our hospital,were randomly divided into two groups,the 3D-HyCOSy group and X-ray hysterosalpingography (HSG) group,26 cases for each group,and comparative analysis was conducted by self-control according to the results of laparoscopy.Results Among the 26 cases of 3D-HyCOSy group,there were 36 tubals accounted for 34.62％(36/52),31 passable ones accounted for 29.81％,37 blocking ones accounted for 35.58％.In 26 cases of HSG group,among 52 diagnosis of tubal patency,there were 27 ones accounting for 25.96％,29 passable accounted for 27.88％,blocking 48％ of 46.15％.The laparoscopic examination prompted the 3D-HyCOSy group coincidence rate (80.39 ± 2.5)％,the HSG group (59.08 ± 5.73)％,the phase difference of the two groups was statistically significant (P ＜ 0.05).Conclusion The 3D-HyCOSy diagnosis of infertility has the following advantages:simple,safe,reliable,effective,no radiation,repeatable observations,diagnosis and identification of uterine lesions of the uterus and fallopian tubes patency is significantly better than those of traditional HSG.
