【摘要】：目的探討經陰道子宮輸卵管動態(tài)三維超聲造影評價輸卵管通暢性的有效性和安全性。方法對125例不孕患者,采用SonoVue造影劑,進行動態(tài)三維超聲造影,記錄相關指標,其中35例結果與腹腔鏡通染液試驗(CLP)進行對照,評價動態(tài)三維超聲造影評估輸卵管通暢性的有效性和安全性。結果 125例患者共計242條輸卵管,超聲造影結果顯示輸卵管通暢88條,輸卵管通而不暢84條,輸卵管阻塞70條。動態(tài)三維超聲造影診斷輸卵管阻塞的敏感度為92.00%、特異度93.33%、陽性預測值88.46%、陰性預測值95.45%、陽性似然比13.8,陰性似然比0.086。一致性分析顯示,兩種方法高度一致,Kappa值為0.846;125例患者造影過程中不同程度腹痛發(fā)生率為96%;術后陰道出血持續(xù)時間為(1.21±0.30)d,所有病例術后無陰道感染發(fā)生。結論動態(tài)三維超聲造影評價輸卵管通暢性具有較高的有效性和安全性,可作為臨床評價輸卵管通暢性的篩查方法之一。
[Abstract]:Objective to evaluate the efficacy and safety of transvaginal hysterosalpingography in the evaluation of tubal patency. Methods dynamic three dimensional contrast-enhanced ultrasonography was performed in 125 infertile patients with SonoVue contrast medium. The results of 35 cases were compared with that of Laparoscopic dye solution test (CLP). To evaluate the efficacy and safety of dynamic three-dimensional contrast-enhanced ultrasonography in evaluating the patency of fallopian tubes. Results there were 242 fallopian tubes in 125 patients, 88 tubal patency, 84 tubal patency and 70 tubal obstruction were found by contrast-enhanced ultrasonography. The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio and negative likelihood ratio were 92.00, 93.33, 88.46, 95.4545, 13.8 and 0.086, respectively. Consistent analysis showed that the Kappa value of the two methods was 0.846% and the incidence of abdominal pain was 96, and the duration of postoperative vaginal bleeding was (1.21 鹵0.30) days, and there was no vaginal infection in all cases. Conclusion dynamic three dimensional contrast-enhanced ultrasonography is effective and safe in evaluating the patency of fallopian tube, and it can be used as one of the screening methods for evaluating the patency of fallopian tube.
【作者單位】： 太原市第二人民醫(yī)院超聲診斷科;山西大醫(yī)院超聲科;
【基金】：太原市科技局社會發(fā)展醫(yī)衛(wèi)專題項目(No.12016902)
【分類號】：R711.6

【共引文獻】

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