摘要
目的探讨实时灰阶超声造影对输卵管阻塞的诊断价值。方法对临床诊断为不孕症的46例患者于月经干净后3～7d进行经阴道实时灰阶超声输卵管造影，动态观察造影剂通过输卵管情况，同时施行常规X线输卵管碘剂造影，评价实时灰阶超声输卵管造影对诊断输卵管通畅程度的准确性。结果实时灰阶超声造影对输卵管通畅、阻塞和通而不畅的诊断敏感性分别为92．0％、87．1％和36．4％，特异性分别为85．7％、96．7％和93．7％，准确性分别为89．1％、93．5％和84．7％；与X线输卵管碘剂造影的Kappa值分别为0．78、0．85和0．16，二者的一致率为83．7％。结论实时灰阶超声造影与碘剂X线造影对输卵管通畅和阻塞的诊断具有高度一致性，前者安全简便，可作为女性不孕症的检查方法。
Objective To investigate the application of real-time gray-scale contrast enhanced ultrasound （CEUS） imaging in the diagnosis of fallopian tube obstruction. Methods Forty-six females with infertility in the period of 3-7 days after menses were inspected by transvaginal CEUS, and the transmission of contrast agents in the fallopian tubes was observed. Then they were inspected by routine iodic X-ray salpingography. Later the value of real-time gray-scale CEUS in diagnosis of fallopian tube was evaluated. Results The sensitivity of CEUS in diagnosis of fallopian tubal unobstrtuction, obstruction and open without freely was 92.0%, 87.1 %, 36. 4% respectively;the specificity was 85.7%, 96.7% ,93.7%;the accurate was 89.1%, 93.5%, 84.7% ;the Kappa was 0.78, 0.85, 0.16 with X-ray salpingography. The concordance was 83.7% between CEUS and X-ray salpingography. Conclusions There were no significant difference between CEUS and X-ray salpingography in diagnosis of fallopian tube unobstruction or obstruction,and the former method is safer and more convenient that is suitable to become an valuable method in inspecting of infertility.
出处
《中华超声影像学杂志》
CSCD
2008年第4期330-332,共3页
Chinese Journal of Ultrasonography
关键词
超声检查
造影剂
输卵管阻塞
子宫输卵管造影术
Ultrasonography
Contrast media
Fallopian tube obstruction
Hysterosalpingography
