影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (6): 977-981.DOI: 10.7517/issn.1674-0475.200515

• 综述与论文 • 上一篇    下一篇

四维宫腔输卵管超声造影联合宫腔压力测量对输卵管通畅性的评价效果分析

彭丹妮, 符元春, 邝海燕, 骆迎春   

  1. 湖南省妇幼保健院, 湖南 长沙 410000
  • 收稿日期:2020-05-21 出版日期:2020-11-15 发布日期:2020-11-15
  • 通讯作者: 骆迎春

Evaluation of Four-dimensional Hysterosalpingo-contrast Sonography Combined with Intrauterine Pressure Measurement on the Status of Fallopian Tube

PENG Danni, FU Yuanchun, KUANG Haiyan, LUO Yingchun   

  1. Hunan Maternal and Child Health Hospital, Changsha 410000, Hunan, P. R. China
  • Received:2020-05-21 Online:2020-11-15 Published:2020-11-15

摘要: 本研究选取不孕症患者98例为研究对象,以腹腔镜下输卵管通液检测为金标准,所有患者均实施4D-HyCoSy检测,采用造影注射装置进行造影剂注射与宫腔压力监测。结果显示,宫腔峰值压力越高,反映输卵管阻塞程度越重,且4D-HyCoSy联合宫腔压力测量诊断输卵管通畅性的符合率高于4D-HyCoSy单一诊断(P<0.05),提示4D-HyCoSy联合宫腔压力测量有助于提高对输卵管通畅性的诊断效能,有望成为基层医院筛查输卵管通畅性的常用方法之一,为临床输卵管不孕(TIF)个性化诊治提供循证支持。

关键词: 宫腔压力测量, 输卵管, 四维宫腔输卵管超声造影

Abstract: 98 cases of infertility patients were selected as the research object. The detection of tubal fluid through the laparoscope was the gold standard, and 4D-HyCoSy tests were performed. The contrast injection device was used for contrast injection and intrauterine pressure monitoring. The results showed that the peak pressure in the uterine cavity increased as the degree of fallopian tube obstruction increased, and the coincidence rate of 4D-HyCoSy combined with uterine cavity pressure measurement to diagnose tubal patency was higher than that of 4D-HyCoSy single diagnosis (P<0.05). It is suggested that 4D-HyCoSy combined with uterine cavity pressure measurement help to improve the diagnostic efficiency on tubal patency. This method is expected to become one of the common methods for screening tubal patency in primary hospitals, and provide evidence-based support for the personalized diagnosis and treatment of tubal infertility (TIF).

Key words: uterine cavity pressure measurement, fallopian tube, four-dimensional hysterosalpingo-contrast sonography