摘要
目的探讨阴道超声(TVS)、子宫输卵管碘造影(SHG)对不孕症患者宫腔粘连的诊断价值。方法回顾性分析48例经宫腔镜检查或治疗的不孕症患者的临床资料,评价TVS、SHG两种检查方法及其二者联合对宫腔粘连诊断的准确性、可靠性及预测值。结果 TVS的灵敏度、阳性似然比、阳性预测值以及与金标准的一致性均高于HSG,但是HSG检查的特异度较高、误诊率低。TVS联合HSG后诊断准确性、可靠性均提高,和金标准的一致性极佳。结论单一TVS或HSG检查诊断宫腔粘连具有较高的漏诊率,将二者检查联合可以大幅降低漏诊率,提高诊断的准确性。
Objective To explore the diagnostic value oftransvaginal ultrasound （TVS） and uterine fallopian tube iodine contrast （SHG） in the diagnosis of uterine cavity adhesion in infertile patients. Methods The clinical data of 48 cases of infertility by hysteroscopy examination or treatment was analyzed retrospectively;the diagnosis value of TVS, SHG and the combination of the two was analyzed. Results The sensitivity,positive likelihood ratio,positive predictive value and consistency （K=0.422） of TVS were higher than those of HSG, but the specificity of HSG examination was higher, and the misdiagnosis rate was low.The accuracy,reliability and the consistency of TVS combined with HSG was excellent. Conclusion A single TVS or HSG examination in the diagnosis of intrauterine adhesions with a high rate of missed diagnosis, combine of two inspections can greatly reduce the rate of missed diagnosis, improve the accuracy of diagnosis.
出处
《基层医学论坛》
2017年第7期802-804,共3页
The Medical Forum
关键词
不孕症
宫腔粘连
阴道超声
子宫输卵管碘造影
诊断价值
Infertility Intrauterine adhesion Transvaginaluhrasonography Hysterosalpingogram Diagnosticvalue
