摘要
目的探讨四维输卵管超声造影对输卵管通畅性及病变部位的临床诊断价值。方法回顾性分析2016年10月~2018年10月在我院接受四维输卵管超声造影检查的121例女性患者的临床资料,患者均在造影后4周内接受腹腔镜亚甲蓝通液术,分析诊断结果、诊断效能与病变部位。结果将腹腔镜亚甲蓝通液术诊断结果作为金标准,四维输卵管超声造影对输卵管通畅的诊断符合率为86.79%,通而不畅为58.33%,阻塞为81.48%,总诊断符合率为80.27%;四维输卵管超声造影对输卵管阻塞的诊断敏感度为81.48%,特异度为88.03%,阳性预测值为79.52%,阴性预测值为89.29%;输卵管通而不畅、输卵管阻塞患者病变部位均以伞部占比最高,分别为27.27%、32.61%。结论四维输卵管超声造影为临床诊断女性输卵管通畅性的有效手段,且可明确病变位置,利于为临床后续治疗方案的设计提供参考依据。
Objective To investigate the clinical value of four-dimensional hysterosalpingocontrast sonography in diagnosis of tubal patency and diseased region.Methods The clinical data of 121 female patients with four-dimensional hysterosalpingocontrast sonography in our hospital from October 2016 to October 2018 were retrospectively analyzed.They were given laparoscopic Methylene Blue hydrotubation after radiography for 4 weeks.The diagnostic results,diagnostic efficiency and diseased region were analyzed.Results The diagnostic results of laparoscopic Methylene Blue hydrotubation were taken as the gold standard,the diagnostic accordance rate of four-dimensional hysterosalpingocontrast sonography in tubal patency was 86.79%,the proportion of partial obstruction was 58.33%,the proportion of complete obstruction was 81.48%,and the total diagnostic accordance rate was 80.27%.The diagnostic sensitivity,specificity,positive predictive value,negative predictive value of four-dimensional hysterosalpingocontrast sonography in oviduct obstruction were 81.48%,88.03%,79.52%,89.29%,respectively.The fimbria lesions accounted for the highest proportion in patients with partial obstruction and complete obstruction,which were 27.27%and 32.61%,respectively.Conclusion Four-dimensional hysterosalpingocontrast sonography is an effective method for clinical diagnosis of female tubal patency,it can determine the location of the lesion,which is helpful for providing reference for the design of clinical follow-up treatment plan.
作者
曾文
ZENG Wen(Department of Ultrasound Diagnosis,Shangrao Maternal and Child Health Hospital in Jiangxi Province,Shangrao 334000,China)
出处
《中国当代医药》
2020年第2期120-123,共4页
China Modern Medicine
关键词
不孕症
输卵管通畅性
病变部位
四维输卵管超声造影
腹腔镜亚甲蓝通液术
诊断效能
Infertility
Tubal patency
Diseased region
Four-dimensional hysterosalpingocontrast sonography
Laparoscopic Methylene Blue hydrotubation
Diagnostic efficiency
