CAJ | 학술논문

目的：探讨不孕不育症患者采用四维子宫输卵管超声造影技术对诊断和治疗的影响。方法从2013年1月～2015年3月我院收治的女性不孕不育症患者中选出93例，分别对其采用腹腔镜下检查和四维子宫输卵管造影检查，以腹腔镜下检查结果为准，研究四维子宫输卵管造影技术诊断的准确率，探讨该技术在治疗不孕不育症中的价值。结果在93例研究对象当中采用两种方法共检查了181条输卵管，经腹腔镜下检查其中共有74条输卵管完全通畅、67条输卵管狭窄、40条输卵管阻塞。而经阴道四维子宫输卵管造影检查后，完全通畅输卵管诊断准确率为94.59%（70/74）、狭窄准确率为98.51%（66/67）、阻塞准确率为97.50%（39/40），总体准确率为96.69%（175/181）。结论利用四维子宫输卵管造影技术能够为不孕不育症的诊断和治疗提供准确数据，对输卵管阻塞性诊断的准确率较高。
목적：탐토불잉불육증환자채용사유자궁수란관초성조영기술대진단화치료적영향。방법종2013년1월～2015년3월아원수치적녀성불잉불육증환자중선출93례，분별대기채용복강경하검사화사유자궁수란관조영검사，이복강경하검사결과위준，연구사유자궁수란관조영기술진단적준학솔，탐토해기술재치료불잉불육증중적개치。결과재93례연구대상당중채용량충방법공검사료181조수란관，경복강경하검사기중공유74조수란관완전통창、67조수란관협착、40조수란관조새。이경음도사유자궁수란관조영검사후，완전통창수란관진단준학솔위94.59%（70/74）、협착준학솔위98.51%（66/67）、조새준학솔위97.50%（39/40），총체준학솔위96.69%（175/181）。결론이용사유자궁수란관조영기술능구위불잉불육증적진단화치료제공준학수거，대수란관조새성진단적준학솔교고。
Objective To study the efficacy of 4D uterus oviduct contrast-enhanced ultrasound in the treatment of infertility.Methods From January 2013 to March 2015,93 cases of female infertility patients,respectively adopted laparoscopic examination and four dimensions to its womb oviduct imaging examination,the laparoscopic examination results shal prevail,the four dimensions the correct rate of diagnosing uterus oviduct imaging technology, discussed the value of the technique in the treatment of infertility.Results Among 93 cases of the object of study by two methods were examined 181 falopian tube,after laparoscopic examination including 74 oviduct unobstructed completely,67 falopian tube narrow,40 falopian tube obstruction. And transvaginal four-dimensional uterus oviduct imaging examination,completely unobstructed oviduct diagnostic accuracy was 94.59%(70/74), with narrow accuracy rate was 98.51%(66/67),accuracy was 97.50%(39/40),the overal accuracy rate was 96.69%(175/181).Conclusion Using 4D uterus oviduct imaging technology can provide accurate data for diagnosis and treatment of infertility,of falopian tube obstructive diagnosis accuracy is higher.