CAJ | 학술논문

目的：探讨动态三维（4D）宫腔输卵管超声造影对不孕症患者的治疗价值。方法收集2013年1月至2014年6月在华中科技大学同济医学院附属同济医院就诊的162例不孕症患者的临床资料，117例经阴道动态三维（4D）超声造影的不孕患者为研究组，同期45例未做超声造影的不孕患者为对照组，追踪两组患者在半年内自然受孕情况。结果研究组造影后半年内36例成功怀孕，妊娠率为30.8%；同期对照组有6例成功怀孕，妊娠率为13.3%，两组妊娠率比较差异有统计学意义（P ＜0.05）。结论经阴道动态三维（4D）宫腔输卵管超声造影除了能准确、快速判断输卵管的通畅性，成为女性输卵管性不孕症的重要诊断手段，同时对不孕症还具有一定的治疗价值。
목적：탐토동태삼유（4D）궁강수란관초성조영대불잉증환자적치료개치。방법수집2013년1월지2014년6월재화중과기대학동제의학원부속동제의원취진적162례불잉증환자적림상자료，117례경음도동태삼유（4D）초성조영적불잉환자위연구조，동기45례미주초성조영적불잉환자위대조조，추종량조환자재반년내자연수잉정황。결과연구조조영후반년내36례성공부잉，임신솔위30.8%；동기대조조유6례성공부잉，임신솔위13.3%，량조임신솔비교차이유통계학의의（P ＜0.05）。결론경음도동태삼유（4D）궁강수란관초성조영제료능준학、쾌속판단수란관적통창성，성위녀성수란관성불잉증적중요진단수단，동시대불잉증환구유일정적치료개치。
Objective Objective To investigate the therapeutic value of 4 - dimensional(4D)hysterosalpingo - contrast sonography in infertile women. Methods Clinical data of 162 women with infertility in Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from Jan 2013 to Jun 2014 were collected. 117 women with infertility accepted hysterosalpingo - contrast sonography(4D)were divided into observation group. 45 women with infertility who did not accept hysterosalpingo - contrast sonography were selected into control group. The status of natural conception in two groups were observed in six months. Results In the study group,36 cases had a successful pregnancy in six months after transvaginal ultrasound( pregnancy rate 30. 8 % ),6 cases in control group had a successful pregnancy( pregnancy rate 13. 3 % ),the difference was significant(P <0. 05). Conclusion 4D transvaginal ultrasound contrast hysterosalpingography has become the important method to diagnose the tube patency in patients with infertility for its accuracy and quickly determination ,it also has a certain therapeutic value.