摘要
目的探讨经阴道子宫输卵管三维超声造影（3DHyCoSy）评价输卵管通畅性的可行性和准确性。方法对22例不孕症患者进行3DHyCoSy检查，评价所获得的三维图像质量，并以1周内的子宫输卵管碘油造影（HsG）图像为对照，评估3DHyCoSy判断输卵管通畅性的情况。结果22例患者3DHyCoSy的图像质量评分为（2．8±0．5）分。与HSG相比，其判断输卵管通畅的符合率为88．9％（24／27），判断输卵管阻塞的符合率为94．1％（16／17），总体符合率为90．9％（40／44）。两种方法判断输卵管通畅性的能力相当（P值=0．000，k值=0．812）。所有患者均未出现与造影剂相关的不良反应。结论经阴道3DHyCoSy是一种全新的输卵管影像学检查方法，能安全、有效地显示输卵管形态，并准确判断其通畅性。
Objective To assess the feasibility and accuracy of the transvaginal three-dimensional hysterosalpingo-contrast sonography（3D HyCoSy） on the fallopian tube patency. Methods 3D HyCoSy was performed in twenty-two cases with infertility. Image quality of 3D HyCoSy was evaluated. The estimate of the fallopian tube patency in 3D HyCoSy were compared with those of hysterosalpinography（HSG） in one week. Results The mean score of image quality of 3D HyCoSy in twenty-two cases was 2.8 ± 0.5. The accuracy of the unobstructed and obstructed fallopian tube were 88.9% （24/27） and 94.1% （16/17） respectively,and the total accuracy was 90.9% （40/44）, which was equal to the results of HSG （P = 0. 000,k= 0. 812）. No adverse reactions of SonoVue occurred in the cases. Conclusions Transvaginal 3D HyCoSy which is a new imaging technique can safely and effectively display the morphological character of fallopian tube and assess the patency.
出处
《中华超声影像学杂志》
CSCD
北大核心
2011年第4期318-320,共3页
Chinese Journal of Ultrasonography
关键词
超声检查
微气泡
子宫输卵管造影术
不育
Ultrasonography
Microbubbles
Hysterosalpingography
Infertility
