CAJ | 학술논문

目的：评价三维子宫输卵管超声造影(3D-HyCoSy)在诊断输卵管源性不孕症中的应用价值。方法选择来我院门诊及生殖中心就诊的不孕症患者39例，采用3D-HyCoSy技术判断输卵管的通畅性，并记录不良反应。其中21例行腹腔镜下输卵管插管通液术，以此为标准，评价两种方法检查输卵管通畅程度的一致性。结果①39例女性不孕症患者中3例已行一侧输卵管切除，共75条输卵管行3D-HyCoSy检查，结果提示37条通畅，18条通而不畅，20条阻塞。其中21例42条输卵管又行腹腔镜输卵管通液术并以观察检查结果为标准，进行一致性检验，Kappa值为0.701，总体符合率为85.7豫(36/42)。②3D-HyCoSy检查过程中，39例患者中有无明显不适6例，轻微疼痛32例，明显疼痛1例，但能忍受，均顺利完成检查，结束后腹痛均缓解，无一例过敏反应发生。结论3D-HyCoSy可以清晰显示输卵管通畅情况，简便易行，安全性高，在输卵管病变引起的不孕症的诊断中具有很好的临床应用价值。
목적：평개삼유자궁수란관초성조영(3D-HyCoSy)재진단수란관원성불잉증중적응용개치。방법선택래아원문진급생식중심취진적불잉증환자39례，채용3D-HyCoSy기술판단수란관적통창성，병기록불량반응。기중21례행복강경하수란관삽관통액술，이차위표준，평개량충방법검사수란관통창정도적일치성。결과①39례녀성불잉증환자중3례이행일측수란관절제，공75조수란관행3D-HyCoSy검사，결과제시37조통창，18조통이불창，20조조새。기중21례42조수란관우행복강경수란관통액술병이관찰검사결과위표준，진행일치성검험，Kappa치위0.701，총체부합솔위85.7예(36/42)。②3D-HyCoSy검사과정중，39례환자중유무명현불괄6례，경미동통32례，명현동통1례，단능인수，균순리완성검사，결속후복통균완해，무일례과민반응발생。결론3D-HyCoSy가이청석현시수란관통창정황，간편역행，안전성고，재수란관병변인기적불잉증적진단중구유흔호적림상응용개치。
Objective To evaluate the application value of the three-dimensional hysterosalpingo-contrast sonography(3D-HyCoSy)in the diagnosis of fallopian tube infertility. Methods All 39 patients with infertility in clinic and repro-ductive center of our hospital were chosen. 3D-HyCoSy was used to check tubal patency, and adverse reactions were recorded. 21 cases among of them underwent laparoscopic tubal cannulation hydrotubation. With the observation results as a standard,consistency of two kinds of methods in checking tubal patency were evaluated. Results Among 39 cases,3 cases of infertility patients underwent tubal resection and 75 fallopian tubes underwent 3D-HyCoSy. Results showed 37 unobstructed tubes,18 jammed tubes and 20 obstructed tubes. 42 fallopian tubes of 21 cases underwent laparoscopic tubal cannulation hydrotubation. The consistency check was conducted with the observation results as a standard. Kappa value was 0.701, and the overall coincidence rate was 85.7%(36/42).In the process of 3D-HyCoSy inspection among 39 cases, there were 6 cases of no obvious discomfort, 32 cases of mild pain, and 1 case of obvious pain who could stand. All the cases had complete inspection, and abdominal pain was relieved after inspection without allergic reac-tions. Conclusion 3d-HyCoSy can display tubal patency clearly. It is simple with high security and has great value in clinical application in the diagnosis of infertility caused by tubal diseases.