CAJ | 학술논문

目的：应用经阴道实时三维超声造影（RT 3D－HyCoSy ）评价不孕症患者输卵管功能，探讨其临床应用价值。方法对152例不孕症患者共296条输卵管行RT 3D－HyCoSy检查，观察二维超声及RT 3D－HyCoSy的声像图特征，分级评估输卵管功能，其中71例共139条输卵管与腹腔镜输卵管最低功能评估结果对照分析。结果 RT 3D－HyCoSy评价输卵管功能与腹腔镜输卵管最低功能评估具有较好的一致性（K=0．694），RT 3D－HyCoSy输卵管功能分级与腹腔镜最低功能分级相关（r＝0．887，P＜0．001）。结论 RT 3D－HyCoSy评估输卵管功能有望为不孕症患者提供一种安全、无创、可靠的了解输卵管功能状态的新途径。
목적：응용경음도실시삼유초성조영（RT 3D－HyCoSy ）평개불잉증환자수란관공능，탐토기림상응용개치。방법대152례불잉증환자공296조수란관행RT 3D－HyCoSy검사，관찰이유초성급RT 3D－HyCoSy적성상도특정，분급평고수란관공능，기중71례공139조수란관여복강경수란관최저공능평고결과대조분석。결과 RT 3D－HyCoSy평개수란관공능여복강경수란관최저공능평고구유교호적일치성（K=0．694），RT 3D－HyCoSy수란관공능분급여복강경최저공능분급상관（r＝0．887，P＜0．001）。결론 RT 3D－HyCoSy평고수란관공능유망위불잉증환자제공일충안전、무창、가고적료해수란관공능상태적신도경。
Objective To explore the clinical value of transvaginal real-time three-dimensional hysterosalpingo-contrast sonography(RT-3D-HyCoSy) with SonoVue in the assessment of tubal function. Methods A total of 152 infertile women underwent transvaginal RT-3D-HyCoSy, and their fallopian tube function were classificated into four grades. Fallopian tube function in 71 of them were assessed with least function scoring system under laparoscopy. The concistency and correlation between the two methods were investigated. Results RT-3D-HyCoSy and laparoscopy had good consistency and Kappa value was 0.694. The fallopian tube function grades based on RT-3D-HyCoSy were correlated with laparoscopic grades(r=0.877, P<0.001). Conclusion RT 3D-HyCoSy is an image technique which would provide an novel, safety and relible approach to assess fallopian tube function.