三维子宫输卵管超声造影与X线子宫输卵管造影的检查的比较研究

发布时间：2018-05-09 06:32

本文选题：三维超声子宫输卵管造影 + X线子宫输卵管造影　；参考：《基因组学与应用生物学》2017年07期

【摘要】：为了进一步探讨三维子宫输卵管超声造影与X线子宫输卵管造影在临床上优缺点和应用价值,本研究对在我院收治的不孕症患者均进行了3D-HyCoSy、HSG检查,并与LSC诊断进行比较,以期在临床上为输卵管性不孕检查提供理论依据。本研究选取了62例不孕症患者,均先后进行了三维子宫输卵管超声造影(3D-HyCoSy)、X线子宫输卵管造影(HSG)及腹腔镜通染液实验(LSC)。对62例患者共124条输卵管行3D-HyCoSy检查表明,与LSC检查相比其Kappa值为0.774,p0.05,一致性好,诊断不通畅的灵敏度、特异性、阴性预测值、阳性预测值分别为97.87%、60.00%、90.00%和88.46%;而HSG检查表明,与LSC检查相比其Kappa值为0.774,p0.05,一致性好,诊断不通畅的灵敏度、特异性、阴性预测值、阳性预测值分别为98.93%、63.33%、89.42%和95.00%;进一步,将3D-HyCoSy与HSG检查诊断输卵管准确率进行比较,准确率分别为85.48%和84.68%,差异比较无统计学意义(p0.05)。我们的研究表明:三维子宫输卵管超声造影与X线子宫输卵管造影临床诊断的检查准确性相当,但三维子宫输卵管超声造影检查无创、无放射性,操作较为简便,且图像更为清晰,其造影剂还具有一定的舒通输卵管作用,总体诊断效果更好。
[Abstract]:In order to further study the advantages and disadvantages of three-dimensional hysterosalpingography and X-ray hysterosalpingography in clinical application, we examined the infertility patients in our hospital by 3D-HyCoSyG, and compared with the diagnosis of LSC. In order to provide a theoretical basis for tubal infertility in clinical examination. In this study, 62 cases of infertility were studied. Three dimensional hysterosalpingography (3D-HyCoSyn X ray hysterosalpingography) and LSCG were performed successively. 3D-HyCoSy examination of 124 oviducts in 62 patients showed that the Kappa value was 0.774p0.05 compared with that of LSC, and the diagnostic sensitivity, specificity, negative predictive value and positive predictive value were 97.87and 60.000.000% and 88.46%, respectively, and HSG examination showed that there was no significant difference in sensitivity, specificity, negative predictive value and positive predictive value, while HSG examination showed that the positive predictive value was 90.0% and 88.46%, respectively. Compared with LSC, the value of Kappa was 0.774p0.05. the diagnostic sensitivity, specificity, negative predictive value and positive predictive value of 3D-HyCoSy and HSG were 98.933% and 89.42%, respectively. Further, the diagnostic accuracy of 3D-HyCoSy and HSG in diagnosis of fallopian tube was compared. The accuracy rates were 85.48% and 84.68%, respectively. Our study shows that the accuracy of three-dimensional hysterosalpingography is similar to that of X-ray hysterosalpingography, but three-dimensional hysterosalpingography is noninvasive, non-radioactive and easy to operate. The image is clearer, and the contrast agent also has the effect of comforting fallopian tube, and the overall diagnostic effect is better.
【作者单位】：河北医科大学第四医院放射科;
【分类号】：R711.6;R816.91

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