摘要
目的评价输卵管性不孕应用CT、经阴道超声造影、抗人绒膜促性腺激素(HCG)抗体联合诊断的价值。方法选取2016年3月至2019年3月北京世纪坛医院收治的120例输卵管性不孕患者作为研究对象。术前均接受CT、经阴道超声造影检查,并测定其血清抗HCG抗体水平,以腹腔镜下通液术诊断结果为金标准,评估CT、经阴道超声造影、抗HCG抗体水平三者单项及联合检查输卵管通畅性的诊断效能,并对比CT、经阴道超声造影的图像质量。结果腹腔镜下通液术诊断结果显示,120例患者(240条输卵管)中输卵管通畅138条(57.5%),不通畅102条(42.5%)。120例患者中血清抗HCG抗体阳性率为42.50%(51/120)。CT、经阴道超声造影、抗HCG抗体水平联合诊断输卵管通畅性的灵敏度(93.14%)、特异度(91.30%)及准确度(92.08%)均比三者单项诊断高,差异具有统计学意义(P<0.05);经阴道超声造影图像质量的优良率(89.17%)比CT(75.83%)高,差异具有统计学意义(P<0.05)。结论相比CT,经阴道超声造影用于输卵管性不孕诊断具有图像质量清晰、可重复性强等优势,若将CT、经阴道超声造影、抗HCG抗体水平三者联合诊断利于判断输卵管通畅程度,可为临床诊治提供科学依据。
Objective To evaluate the value of CT,transvaginal sonography and anti-human chorionic gonadotropin(HCG)antibody in the diagnosis of fallopian tube infertility.Methods 120 cases of oviduct infertility patients admitted in Beijing Century Altar Hospital from March 2016 to March 2019 were selected as the research objects,and were preoperative examined by CT,transvaginal ultrasound imaging,the serum HCG antibody levels.Take the liquid to laparoscopic surgery as the gold standard of diagnosis.Evaluate the diagnostic efficacy of CT,transvaginal ultrasound imaging,HCG antibody level respective and joint on tubal patency,and contrast the image quality of CT and transvaginal ultrasound imaging.Results The diagnosis results of laparoscopic examination showed that 138(57.5%)fallopian tubes were unblocked and 102(42.5%)were blocked in 120 patients(240 fallopian tubes).The positive rate of serum anti-HCG antibody in 120 patients was 42.50%(51/120).The sensitivity(93.14%),specificity(91.30%)and accuracy(92.08%)of CT,transvaginal ultrasonography and anti-HCG antibody levels in diagnosing fallopian tube patency were higher than those in single diagnosis,and the differences were statistically significant(P<0.05).The excellent rate of image quality of transvaginal ultrasonography(89.17%)was higher than that of CT(75.83%),the difference was statistically significant(P<0.05).Conclusions Compared with CT,transvaginal contrast-enhanced ultrasound has the advantages of clear image quality and strong repeatability in the diagnosis of tubal infertility.If CT,transvaginal contrast-enhanced ultrasound and anti-HCG antibody level are combined to diagnose the degree of fallopian tube patency,it can provide scientific basis for clinical diagnosis and treatment.
作者
柳维娜
孙小丽
刘薇
王仁贵
LIU Weina;SUN Xiaoli;LIU Wei;WANG Rengui(Department of Radiology,Beijing Century Altar Hospital,Beijing 100080,China)
出处
《中国性科学》
2021年第1期69-71,共3页
Chinese Journal of Human Sexuality
