CAJ | 학술논문

目的探讨经阴道子宫输卵管三维超声造影（3D-CEUS）评价输卵管通畅性的临床应用价值。资料与方法对33例临床诊断不孕症患者采用3D-CEUS评估输卵管通畅性，以腹腔镜下通染液检查作为对照，评价3D-CEUS判断输卵管通畅性的敏感度、特异度、阳性似然比、阴性似然比。结果应用3D-CEUS诊断输卵管通畅20条，通而不畅10条，阻塞36条。腹腔镜通染液检查输卵管通畅23条，通而不畅7条，阻塞36条。3D-CEUS检测输卵管通畅性的总符合率为86.4%（57/66），敏感度为93.0%（40/43），特异度为73.9%（17/23），阳性似然比为7.15，阴性似然比为0.20。结论3D-CEUS可准确快速地评估输卵管通畅性，值得临床推广应用；但对输卵管阻塞或通而不畅的患者需进一步行腹腔镜检查。
목적탐토경음도자궁수란관삼유초성조영（3D-CEUS）평개수란관통창성적림상응용개치。자료여방법대33례림상진단불잉증환자채용3D-CEUS평고수란관통창성，이복강경하통염액검사작위대조，평개3D-CEUS판단수란관통창성적민감도、특이도、양성사연비、음성사연비。결과응용3D-CEUS진단수란관통창20조，통이불창10조，조새36조。복강경통염액검사수란관통창23조，통이불창7조，조새36조。3D-CEUS검측수란관통창성적총부합솔위86.4%（57/66），민감도위93.0%（40/43），특이도위73.9%（17/23），양성사연비위7.15，음성사연비위0.20。결론3D-CEUS가준학쾌속지평고수란관통창성，치득림상추엄응용；단대수란관조새혹통이불창적환자수진일보행복강경검사。
Purpose To investigate the clinical value of three-dimensional hysterosalpingo-contrast-sonography (3D-HyCoSy) in the assessment of fallopian tubal patency.Materials and Methods Fallopian tubal patency of 33 infertile women was assessed using transvaginal 3D-HyCoSy, and the results were compared with laparoscopically salpingoraphy, the sensitivity, specificity, positive likelihood ratio and negative likelihood ratio of 3D-HyCoSy were evaluated.Results 3D-HyCoSy showed 20 passable fallopian tubes, 10 partially passable fallopian tubes and 36 obstructed tubes, while lapascopically salpingoraphy showed 23 passable fallopian tubes, 7 partially passable fallopian tubes and 36 obstructed tubes. The total coincidence rate of 3D-HyCoSy to assess the fallopian tubal patency was 86.4% (57/66), with the sensitivity of 93.0% (40/43), specificityof 73.9% (17/23), positive likelihood ratio of 7.15, and negative likelihood ratio of 0.20.Conclusion Tubal patency can be efficiently and accurately assessed using 3D-HyCoSy, but patients with obstructed or partially passable fallopian tubes should undergo laparoscopy to clarify.