中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
3期
603-604,609
,共3页
不孕症%子宫输卵管超声造影%四维重建%腹腔镜
不孕癥%子宮輸卵管超聲造影%四維重建%腹腔鏡
불잉증%자궁수란관초성조영%사유중건%복강경
infertility%hysterosalpingo-contrast sonography%four-dimensional construction%laparoscopy
目的：探讨经阴道子宫输卵管四维超声造影在不孕症诊断中的临床价值。方法采用Sono Vue造影剂对152例不孕症患者行TVS 4D-HyCoSy,动态观察输卵管通畅性,其中50例患者接受了腹腔镜下通染液检查,并比较评价结果。结果152例患者304条输卵管四维超声造影显示输卵管通畅145条,完全阻塞64条,通而不畅95条；同时检出输卵管外病变25例。50例子宫输卵管超声造影与腹腔镜通液结果比较两种方法在判断输卵管通畅性方面一致性高(κ=0.847,P<0.01)。结论经阴道子宫输卵管四维超声造影(TVS 4D-HyCoSy)可动态显示子宫及输卵管形态,不仅能准确评价输卵管通畅情况,还可诊断子宫畸形及宫腔病变,有望成为不孕症诊断中必不可少的检查方法。
目的：探討經陰道子宮輸卵管四維超聲造影在不孕癥診斷中的臨床價值。方法採用Sono Vue造影劑對152例不孕癥患者行TVS 4D-HyCoSy,動態觀察輸卵管通暢性,其中50例患者接受瞭腹腔鏡下通染液檢查,併比較評價結果。結果152例患者304條輸卵管四維超聲造影顯示輸卵管通暢145條,完全阻塞64條,通而不暢95條；同時檢齣輸卵管外病變25例。50例子宮輸卵管超聲造影與腹腔鏡通液結果比較兩種方法在判斷輸卵管通暢性方麵一緻性高(κ=0.847,P<0.01)。結論經陰道子宮輸卵管四維超聲造影(TVS 4D-HyCoSy)可動態顯示子宮及輸卵管形態,不僅能準確評價輸卵管通暢情況,還可診斷子宮畸形及宮腔病變,有望成為不孕癥診斷中必不可少的檢查方法。
목적：탐토경음도자궁수란관사유초성조영재불잉증진단중적림상개치。방법채용Sono Vue조영제대152례불잉증환자행TVS 4D-HyCoSy,동태관찰수란관통창성,기중50례환자접수료복강경하통염액검사,병비교평개결과。결과152례환자304조수란관사유초성조영현시수란관통창145조,완전조새64조,통이불창95조；동시검출수란관외병변25례。50례자궁수란관초성조영여복강경통액결과비교량충방법재판단수란관통창성방면일치성고(κ=0.847,P<0.01)。결론경음도자궁수란관사유초성조영(TVS 4D-HyCoSy)가동태현시자궁급수란관형태,불부능준학평개수란관통창정황,환가진단자궁기형급궁강병변,유망성위불잉증진단중필불가소적검사방법。
Objective To evaluate the clinical value of transvaginal four-dimensional hysterosalpingo-constrast sonography ( TVS 4D-HyCoSy) in the diagnosis of infertility. Methods Totally 152 patients underwent TVS 4D-HyCoSy with Sonovue to observe the tubal patency. Among them, 50 patients accepted laparoscopic dye test, and the results were analyzed. Results Among 304 tubes, TVS 4D-HyCoSy showed that there were 145 unobstructed tubes, 64 obstructed tubes, and 95 partially passable tubes. There were 25 cases diagnosed with other lesions. Laparoscopic dye test had high consistency with TVS 4D-HyCoSy in judging fallopian tube patency (κ =0. 847,P<0. 01). Conclusion TVS 4D-HyCoSy can demonstrate dynamic morphological features of fallopian tube, accurately assess tubal patency, and diagnose uterine malformation and lesion. It will be a necessary examination method in diagnosis of infertility.
