中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2013年
5期
418-421
,共4页
臧国礼%黄品同%张翔珍%胡颖璐%李沉思%倪银莲
臧國禮%黃品同%張翔珍%鬍穎璐%李沉思%倪銀蓮
장국례%황품동%장상진%호영로%리침사%예은련
超声检查%微气泡%不育,女性%子宫输卵管造影术
超聲檢查%微氣泡%不育,女性%子宮輸卵管造影術
초성검사%미기포%불육,녀성%자궁수란관조영술
Ultrasonography%Microbubbles%Infertility,female%Hysterosalpingography
目的 评价造影剂SonoVue高压恒速注射子宫输卵管超声造影(HyCoSy)检查及时间-强度曲线在女性不孕症诊断中的应用价值.方法 对56例女性输卵管不孕患者以SonoVue为造影剂采用球囊导管加压注射法进行HyCoSy检查并利用ACQ软件进行时间-强度曲线分析.超声造影后分别取得输卵管部分通畅组和正常对照组从宫腔到输卵管伞部周边盆腔的造影剂通过时间(AT),并对两组间进行统计学分析.结果 输卵管部分通畅组的AT为(3.49±1.70)s,正常通畅组为(1.14±0.37)s,两组比较差异有统计学意义(P=0.000).经ROC曲线分析得出,以AT 1.65 s作为诊断输卵管部分通畅输的最佳工作点,灵敏性为92.6％,特异性为93.3％,阳性预测值96.2％,阴性预测值87.5％.结论 利用高压注射器进行HyCoSy有利于规范化操作,显示高质量输卵管图像.ACQ曲线分析从宫腔到输卵管伞部周边盆腔的AT是检查输卵管通畅性的有效诊断指标.
目的 評價造影劑SonoVue高壓恆速註射子宮輸卵管超聲造影(HyCoSy)檢查及時間-彊度麯線在女性不孕癥診斷中的應用價值.方法 對56例女性輸卵管不孕患者以SonoVue為造影劑採用毬囊導管加壓註射法進行HyCoSy檢查併利用ACQ軟件進行時間-彊度麯線分析.超聲造影後分彆取得輸卵管部分通暢組和正常對照組從宮腔到輸卵管傘部週邊盆腔的造影劑通過時間(AT),併對兩組間進行統計學分析.結果 輸卵管部分通暢組的AT為(3.49±1.70)s,正常通暢組為(1.14±0.37)s,兩組比較差異有統計學意義(P=0.000).經ROC麯線分析得齣,以AT 1.65 s作為診斷輸卵管部分通暢輸的最佳工作點,靈敏性為92.6％,特異性為93.3％,暘性預測值96.2％,陰性預測值87.5％.結論 利用高壓註射器進行HyCoSy有利于規範化操作,顯示高質量輸卵管圖像.ACQ麯線分析從宮腔到輸卵管傘部週邊盆腔的AT是檢查輸卵管通暢性的有效診斷指標.
목적 평개조영제SonoVue고압항속주사자궁수란관초성조영(HyCoSy)검사급시간-강도곡선재녀성불잉증진단중적응용개치.방법 대56례녀성수란관불잉환자이SonoVue위조영제채용구낭도관가압주사법진행HyCoSy검사병이용ACQ연건진행시간-강도곡선분석.초성조영후분별취득수란관부분통창조화정상대조조종궁강도수란관산부주변분강적조영제통과시간(AT),병대량조간진행통계학분석.결과 수란관부분통창조적AT위(3.49±1.70)s,정상통창조위(1.14±0.37)s,량조비교차이유통계학의의(P=0.000).경ROC곡선분석득출,이AT 1.65 s작위진단수란관부분통창수적최가공작점,령민성위92.6％,특이성위93.3％,양성예측치96.2％,음성예측치87.5％.결론 이용고압주사기진행HyCoSy유리우규범화조작,현시고질량수란관도상.ACQ곡선분석종궁강도수란관산부주변분강적AT시검사수란관통창성적유효진단지표.
Objective To investigate the clinical value of hysterosalpingo-contrast-sonography (HyCoSy) with high-pressure syringe injection and time-intensity curve analysis in the diagnosis of women infertility due to tube obstruction.Methods Fifty-six women with infertility underwent HyCoSy with compressive injection of SonoVue with a balloon catheter and high-pressure syringe.Time-intensity curve based on Autotracking Contrast Quatification (ACQ) software was analyzed in all patients.The arrival time (AT) of microbubbles from uterine cavity to tube fimbria was analyzed between partially obstructed tube group and control group.Results The AT in the group of partially obstructed tubes was (3.49 ± 1.70) s,while the AT in the group of freely patent tubes was (1.14-± 0.37)s,there was statistical difference of AT between the group of partially obstructed tubes and the group of freely patent tubes (P =0.000).According to ROC results,the optimization point of AT was 1.65 s,the sensitivity,specificity,positive predictive value and negative predictive value were 92.6％,93.3％,96.2％ and 87.5％,respectively.Conclusions High-pressure syringe injection in HyCoSy is useful for regular administration and high image quality.The AT could be considered as the diagnostic indices in the evaluation of fallopian tube patency for infertile women.
