经阴道实时三维超声子宫输卵管造影与腹腔镜检查评价输卵管通畅性

发布时间：2019-06-15 17:50

【摘要】：目的评价经阴道实时三维超声子宫输卵管造影应用于不孕症诊断价值。方法采取经阴道实时三维超声子宫输卵管造影及腹腔镜通染液检查输卵管通畅性,比较两种检查方式诊断输卵管通畅性的一致性。结果经阴道实时三维超声子宫输卵管造影161条输卵管,输卵管通畅49条,通而不畅42条,阻塞70条。腹腔镜通染液检查输卵管通畅47条,通而不畅46条,阻塞68条。经阴道实时三维输卵管造影检查输卵管通畅符合率91.8%(45/49);输卵管通而不畅诊断符合率95.2%(40/42);阻塞诊断符合率为94.3%(66/70),Kappa值=0.706,P0.05,两种检查方式高度一致。结论经阴道实时三维超声子宫输卵管造影应用于不孕症诊断输卵管通畅性情况与腹腔镜通染液检查高度一致,具有较高诊断价值。
[Abstract]:Objective to evaluate the value of transvaginal real-time three-dimensional hysterosalpingography in the diagnosis of infertile women. Methods the tubal patency was examined by transvaginal real-time three-dimensional hysterosalpingography and laparoscopy, and the consistency of the two methods in the diagnosis of fallopian tube patency was compared. Results 161 fallopian tubes were examined by transvaginal real-time three-dimensional ultrasound hysterosalpingography, 49 fallopian tubes were unobstructed, 42 were unobstructed and 70 were blocked. Laparoscopic staining showed that 47 fallopian tubes were unobstructed, 46 were unobstructed and 68 were blocked. The coincidence rate of tubal patency was 91.8% (45 / 49), the diagnostic coincidence rate of tubal obstruction was 95.2% (40 鈮，

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