摘要
为探讨经阴道二维子宫输卵管超声造影（2D-HyCoSy）联合四维子宫输卵管超声造影（4D-HyCoSy）诊断不育症妇女输卵管通畅性的效果，本研究选取80例（160例输卵管）不育症妇女作为研究对象，分别接受2D-HyCoSy和4D-HyCoSy检查，以腹腔镜下通液检查作为金标准，观察两种超声造影检查及二者联合应用诊断输卵管通畅性的价值。结果显示，2D-HyCoSy诊断输卵管闭塞的灵敏度为74．51％、特异度为81．65％、漏诊率为25．49％、误诊率为18．35％；4D-HyCoSy诊断输卵管闭塞的灵敏度为84．31％、特异度为88．07％、漏诊率为15．69％、误诊率为11．93％；2D-HyCoSy联合4D-HyCoSy诊断输卵管闭塞的灵敏度为98．04％、特异度为92．66％、漏诊率为1．96％、误诊率为7．34％。本研究说明2D-HyCoSy联合4D-HyCoSy诊断输卵管通畅性较二者单独应用具有更高的灵敏度和特异度，具有临床广泛推广的潜在价值。
To investigate the effect of transvaginal two-dimensional ultrasound contrast （2D-HyCoSy） and uterine tubal contrast-enhanced ultrasound （4D-HyCoSy） in the diagnosis of tubal patency in infertile women, 80 （160 fallopian tubes） infertile women were selected as the research objects, and received 2D-HyCoSy and 4D-HyCoSy examination respectively. Took laparoscopic hydrotubation examination as the gold standard and checked the value of these two contrast-enhanced ultrasound observation and combined method to diagnosis the tubal patency. It was found that 2D-HyCoSy had a diagnosis sensitivity of tubal occlusion at 74.51%, while the specificity was 81.65%, the misdiagnosis rate was 25.49%, the misdiagnosis rate was 18.35% respectively; for 4D-HyCoSy, the sensitivity was 84.31%, specificity was 88.07%, the misdiagnosis rate was 15.69% and the misdiagnosis rate was 11.93%; Fot the combination of 2D-HyCoSy and 4D-HyCoSy, the, the sensitivity is 98.04%. The specificity was 92.66%, the misdiagnosis rate was 1.96%, the misdiagnosis rate Was 7.34%. It could be indicated in this research that 2D-HyCoSy combined with 4D-HyCoSy in the diagnosis of fallopian tube patency has higher sensitivity and specificity than the two, it has potential value in clinical popularization.
作者
安晓霞
席晓
郭建梅
An Xiaoxia;Xi Xiao;Guo Jianmei(Armed Police Beijing General Hospital,Beijing,100027;Amcare Women and Children＇s Hospital,Beijing,100027)
出处
《基因组学与应用生物学》
CAS
CSCD
北大核心
2018年第11期5000-5005,共6页
Genomics and Applied Biology
基金
武警北京总队医院资助
关键词
二维
子宫输卵管超声造影
四维
不育症
输卵管通畅性
Two dimensional
Contrast enhanced ultrasound
Four-dimensional
Infertility
Fallopian tube patency
