| 梁娜,吴青青,高凤云,冯颖,李菁华.三维子宫输卵管超声造影评价输卵管通畅性[J].中国医学影像技术,2013,29(2):256~259 |
| 三维子宫输卵管超声造影评价输卵管通畅性 |
| Three-dimensional hysterosalpingo-contrast-sonography evaluation of tubal patency |
| 投稿时间：2012-09-07 修订日期：2012-11-19 |
| DOI： |
| 中文关键词: 不育,女性 输卵管 超声检查 造影剂 声诺维 |
| 英文关键词:Infertility, female Fallopian tubes Ultrasonography Contrast media SonoVue |
| 基金项目:首都医科大学附属北京妇产医院科研基金(201003)。 |
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| 中文摘要: |
| 目的 探讨三维子宫输卵管超声造影(3D-HyCoSy)评价输卵管通畅性的可行性和准确性。方法 选择206例(397条输卵管)不孕症患者,采用造影剂SonoVue及编码造影成像技术进行3D-HyCoSy检查。通过3D-HyCoSy评价输卵管的通畅性,并对其图像质量进行分析。42例患者同时接受腹腔镜下通染液检查,以此为金标准,与3D-HyCoSy结果进行对照分析。结果 96.60%(199/206)3D-HyCoSy图像质量优良,能很好地评价输卵管的通畅性。80条输卵管同时接受腹腔镜下通染液检查,以其结果作为对照,3D-HyCoSy诊断输卵管通畅性的准确率为90.00%(72/80),敏感度为94.83%(55/58),特异度为77.27%(17/22),阳性预测值为91.67%(55/60),阴性预测值为85.00%(17/20);判断输卵管的阻塞部位和阻塞程度的准确率为75.00%(60/80)。结论 3D-HyCoSy 有望成为比较理想的评价输卵管通畅性的方法之一。 |
| 英文摘要: |
| Objective To investigate the feasibility and accuracy of three-dimensional hysterosalpingo-contrast-sonography (3D-HyCoSy) for evaluating tubal patency. Methods Totally 206 infertile women (397 fallopian tubes) were enrolled. All patients underwent 3D-HyCoSy examination. SonoVue was used as contrast medium, and coded contrast imaging technique was adopted in 3D-HyCoSy. The tubal patency was evaluated, and image quality of 3D-HyCoSy was analyzed. Forty-two patients accepted laparoscopic hydrotubation, and the results were taken as the gold standards for tubal patency for analyzing those of 3D-HyCoSy. Results The image quality of 3D-HyCoSy was good in 96.60% (199/206) patients. Compared with results of laparoscopic hydrotubation, the accuracy of 3D-HyCoSy was 90.00% (72/80), sensitivity was 94.83% (55/58), specificity was 77.27% (17/22), positive predictive value was 91.67% (55/60), negative predictive value was 85.00% (17/20). The accuracy of 3D-HyCoSy to determine the tubal occlusive position and degree was 75.00% (60/80). Conclusion 3D-HyCoSy is accurate and feasible, which will be used as one of the promising methods for evaluating tubal patency. |
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