| 杨淑君,柯小玲,罗梅花,彭雪芳,郭杨,钱颖.全氟显子宫输卵管四维超声造影评价不孕女性输卵管通畅性[J].中国医学影像技术,2019,35(1):113~116 |
| 全氟显子宫输卵管四维超声造影评价不孕女性输卵管通畅性 |
| Four-dimensional hysterosalpingo-contrast sonography with fluorocarbon in evaluation on fallopian tube patency in infertile women |
| 投稿时间：2018-06-15 修订日期：2018-10-06 |
| DOI：10.13929/j.1003-3289.201806062 |
| 中文关键词: 不孕 子宫输卵管造影术 超声检查 |
| 英文关键词:infertility hysterosalpingography ultrasonography |
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| 中文摘要: |
| 目的 探讨全氟显子宫输卵管四维超声造影（4D-HyCoSy）评估不孕女性输卵管通畅性的应用价值。方法 对138例不孕女性患者分别行4D-HyCoSy和X线子宫输卵管造影（X-HSG）检查。以腹腔镜结果为诊断金标准，对比分析4D-HyCoSy与X-HSG诊断输卵管通畅、通而不畅及阻塞的特异度及敏感度的差异。结果 4D-HyCoSy诊断输卵管通畅的特异度96.32%（157/163）、敏感度95.33%（102/107），通而不畅的特异度97.75%（174/178）、敏感度93.48%（86/92），阻塞的特异度96.98%（193/199）、敏感度92.96%（66/71）。X-HSG诊断输卵管通畅的特异度92.02%（150/163）、敏感度92.52%（99/107），通而不畅的特异度95.51%（170/178）、敏感度86.96%（80/92），阻塞的特异度96.98%（193/199）、敏感度90.14%（64/71）。4D-HyCoSy与X-HSG诊断输卵管通畅、通而不畅及阻塞的特异度及敏感度差异均无统计学意义（P均>0.05），且两种方法诊断结果的一致性较好（Kappa=0.887）。结论 全氟显4D-HyCoSy可有效评价输卵管通畅性，有助于诊断及治疗女性不孕症。 |
| 英文摘要: |
| Objective To explore the application value of four-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy) with fluorocarbon in evaluation on fallopian tube patency in infertile women. Methods 4D-HyCoSy and X-ray hysterosalpingography (X-HSG) were performed in 138 infertile women. Taken the results of laparoscopy as gold standards, the diagnostic specificity and sensitivity of oviducts unobstructed, partially unobstructed and obstructed were compared between 4D-HyCoSy and X-HSG. Results The diagnostic specificity and sensitivity of oviducts unobstructed with 4D-HyCoSy was 96.32% (157/163) and 95.33% (102/107), of partially unobstructed was 97.75% (174/178) and 93.48% (86/92), while of obstructed was 96.98% (193/199) and 92.96% (66/71). The diagnostic specificity and sensitivity of oviducts unobstructed with X-HSG was 92.02% (150/163) and 92.52% (99/107), of partially unobstructed was 95.51% (170/178) and 86.96% (80/92), while of obstructed was 96.98%(193/199) and 90.14% (64/71). There was no significant difference of diagnostic specificity nor sensitivity of oviducts unobstructed, partially unobstructed and obstructed between 4D-HyCoSy and X-HSG (all P>0.05), and the consistency of 4D-HyCoSy and X-ray in diagnosis of fallopian tube patency was good (Kappa=0.887). Conclusion 4D-HyCoSy with fluorocarbon can be used to evaluate the fallopian tube patency, therefore being helpful to diagnosis and treatment of infertility. |
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