影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (6): 1370-1374.DOI: 10.7517/issn.1674-0475.220716

• 综述与论文 • 上一篇    下一篇

4D-HyCoSy和HSG检查对输卵管性不孕的诊断分析

王慕喆1, 李向红2, 邢秀月1, 王丽娜1, 周叶1, 李晓丽1   

  1. 1. 琼海市人民医院妇科, 海南 琼海 571400;
    2. 琼海市人民医院超声科, 海南 琼海 571400
  • 收稿日期:2022-07-15 出版日期:2022-11-23 发布日期:2022-11-15
  • 通讯作者: 王慕喆

Diagnostic Analysis of 4D-HyCoSy and HSG Examination in Tubal Infertility

WANG Muzhe1, LI Xianghong2, XING Xiuyue1, WANG Lina1, ZHOU Ye1, LI Xiaoli1   

  1. 1. Department of Gynecology, QionghaiPeople's Hospital, Qionghai 571400, Hainan, P. R. China;
    2. Department of Ultrasound, Qionghai People's Hospital, Qionghai 571400, Hainan, P. R. China
  • Received:2022-07-15 Online:2022-11-23 Published:2022-11-15

摘要: 本文探讨在输卵管性不孕中的诊断中,经阴道子宫输卵管四维超声造影(4D-HyCoSy)和X线下子宫输卵管造影(HSG)的差异。选取92例疑似输卵管性不孕患者,给予4D-HyCoSy、HSG和腹腔镜通染液实验(LSC)检查,同时在4D-HyCoSy检查时进行宫腔压力测量。以LSC检查为金标准,4D-HyCoSy检查与LSC检查Kappa值为0.810,P<0.05;HSG检查与LSC检查Kappa值为0.905,P<0.05;4D-HyCoSy、HSG对输卵管状况的诊断准确率比较,差异无统计学意义(P>0.05);输卵管梗阻患者4D-HyCoSy、HSG检查时宫腔压力峰值明显高于通而不畅和通畅患者(P<0.05)。在诊断输卵管性不孕中,4D-HyCoSy和HSG对于输卵管通畅性均有较高的诊断价值。

关键词: 经阴道子宫输卵管四维超声造影, 子宫输卵管造影, 输卵管性不孕

Abstract: This paper discussed the differences between four-dimensional hyterosalpingo-contrast-sonography (4D-HyCoSy) and hysterosalpingography (HSG) under X-ray in the diagnosis of tubal infertility. 92 patients with suspected tubal infertility were selected, they were examined by 4D-HyCoSy, HSG and laparoscopic staining solution experiment (LSC), and the uterine pressure was measured during the 4D-HyCoSy examination. LSC examination was taken as the gold standard, and the Kappa value of 4D-HyCoSy and LSC was 0.810 (P<0.05). The Kappa value of HSG and LSC was 0.905 (P<0.05). There was no significant difference in the diagnostic accuracy of 4D-HyCosy and HSG for tubal status (P>0.05). The peak values of intrauterine pressure in patients with tubal obstruction during 4D-HyCoSy and HSG were significantly higher than those in patients with partially obstructed and unobstructed (P<0.05). In the diagnosis of tubal infertility, 4D-HyCoSy and HSG have high diagnostic value in the judgement of tubal patency.

Key words: transvaginal four-dimensional contrast-enhanced ultrasound of uterus and fallopian tube, hysterosalpingography, tubal infertility