摘要
目的:观察子宫输卵管四维超声造影(4D-HyCoSy)诊断不孕症的有效性和安全性。方法:收集2017年8月—2018年12月本院就诊的不孕症患者80例,均行4D-HyCoSy检查输卵管通畅性,记录不良反应。术后2个月内对其中20例40条输卵管复查腹腔镜下美兰通液术(CLP),评价结果符合率。结果:以CLP检查结果为标准,有34条结果符合,符合率85%(34/40),而通畅、通而不畅和堵塞的符合比例分别为11/12、9/12和14/16。4D-HyCoSy检测技术对输卵管阻塞的诊断灵敏度、特异度和准确度分别为87.5%,95.8%和92.5%。一致性检测Kappa值为0.842,对不孕症患者的输卵管通畅性与CLP检测诊断高度一致。结论:4D-HyCoSy与CLP对不孕症患者输卵管通畅情况的诊断性能一致性高,有效性强,且无射线损伤,安全性高。
Objective:To observation of the efficacy and safety of four dimensional ultrasound contrast enhanced hysterosalpingography(4D HyCoSy)for diagnosing tubal patency of infertility women.Methods:80 infertility women were given tested by 4D HyCoSy and X ray hysterosalpingography(HSG)from August 2017 to December 2018.And the different diagnostic results of all women were confirmed by laparoscopic methylene blue(CLP).The diagnostic consistency between 4D HyCoSy or HSG and CLP were evaluated,and the adverse reactions were recorded.Results:The sensitivity,specificity and accuracy of 4D HyCoSy were 98.3%,90.5%and 96.3%,respectively,and the sensitivity,specificity and accuracy of HSG were 89.8%,95.2%and 91.3%,respectively.The Kappa value consistency between 4D HyCoSy and CLP was 0.902,which was higher than that(0.790)between HSG and CLP.The rate of women with grade II and III pain response by 4D HyCoSy tested was 7.5%,which was significant lower than that(23.8%)of HSG(χ^2=8.012,P=0.005).The rate of genital tract bleeding(26.3%)by 4D HyCoSy tested was significant lower than that(42.5%)by HSG tested(χ^2=4.682,P=0.030).The time of genital tract bleeding by 4D HyCoSy tested was(1.12±0.24)d,which was significantly shorter than that[(1.79±0.37)d]by HSG tested(t=4.193,P=0.000).Conclusion:Compared with HSG tested,4D HyCoSy tested for diagnosing tubal patency of infertility women has high consistent,good efficacy,and high safety with less adverse reactions.
作者
黄春
於莺
肖碧芳
HUANG Chun;YU Ying;XIAO Bifang(Fuyang Maternal and Child Health Care Hospital of Hangzhou,Zhejiang Province,311400)
出处
《中国计划生育学杂志》
2019年第8期1079-1082,共4页
Chinese Journal of Family Planning
基金
杭州市富阳区科技发展计划项目(2017SK008)
关键词
不孕症
输卵管通畅性
子宫输卵管四维超声造影
有效性
Infertility
Tubal patency
Four dimensional ultrasound contrast enhanced hysterosalpingography
Diagnostic validity
