经阴道四维子宫输卵管超声造影与X线子宫输卵管造影在输卵管通畅性诊断的对比

发布时间：2018-05-25 14:23

本文选题：子宫输卵管造影术 + 微气泡　；参考：《世界最新医学信息文摘》2016年69期

【摘要】：目的比较经阴道子宫输卵管四维超声造影(TVS4D-HyCoSy)与X线子宫输卵管造影(X-HSG)评价输卵管通畅性的一致性。方法本研究对2015年1月至2015年11月前来就诊的72例女性不孕症患者采用新型微泡对比剂行经阴道四维造影技术(TVS4D-HyCoSy)评判输卵管的通畅性,实时动态观察对比剂在宫腔、输卵管内流动的过程及其显影效果,并与X线子宫输卵管造影(X-HSG)进行对比。结果72例不孕症患者行TVS4D-HyCoSy检查144条输卵管。以X-HSG为标准,超声造影评价输卵管通畅的符合率为94.74%(72/76),通而不畅的符合率为85.71(28/24),积水的符合率100%(20/20),阻塞的符合率为100%(24/24),总体符合率为94.44%。2种方法判断输卵管通畅性的能力相当(P0.05),且均未出现与对比剂相关的不良反应。结论应用TVS4D-HyCoSy能安全、有效地显示子宫输卵管的形态,并准确判断其通畅性,是检查输卵管通畅性的有效方法。
[Abstract]:Objective to compare the consistency between transvaginal hysterosalpingography (TVS4D-HyCoSy) and X-ray hysterosalpingography (X-HSG) in evaluating the patency of fallopian tube. Methods A total of 72 female infertility patients from January 2015 to November 2015 were studied to evaluate the patency of fallopian tubes by using a new microbubble contrast agent, TVS4D-HyCoSy. The process of flow in fallopian tube and its imaging effect were compared with X-HSG-ray hysterosalpingography. Results TVS4D-HyCoSy was performed in 72 patients with infertility. Using X-HSG as the standard, The coincidence rate of ultrasound in evaluating the patency of fallopian tube is 94.74 / 72 / 76, the coincidence rate of patency is 85.71 / 28 / 24, the coincidence rate of hydrops is 100 / 20 / 20, the coincidence rate of obstruction is 100 / 24 / 24, the overall coincidence rate is 94.44.2, the ability to judge the fluidity of fallopian tube is quite high (P0.05), and none of them has any ability to judge the patency of fallopian tube. There are adverse reactions associated with contrast agents. Conclusion TVS4D-HyCoSy is a safe and effective method to show the shape of uterus and fallopian tube and to judge its patency accurately. It is an effective method to check the patency of fallopian tube.
【作者单位】：山东省聊城市人民医院生殖医学科;
【分类号】：R271.14

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