Application of TVS 4D-HyCoSy in the Judgment of Tubal Patency and Contrast Medium Reflux

doi:10.7517/issn.1674-0475.220614

IMAGING SCIENCE AND PHOTOCHEMISTRY ›› 2022, Vol. 40 ›› Issue (6): 1334-1338.DOI: 10.7517/issn.1674-0475.220614

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Application of TVS 4D-HyCoSy in the Judgment of Tubal Patency and Contrast Medium Reflux

ZHOU Qiong¹, LONG Xiangdang¹, LIU Xuefei¹, WANG Linling², WANG Xiaoli³

1. Department of Ultrasound, Hunan Provincial People's Hospital(The First Affiliated Hospital of Hunan Normal University), Changsha 410005, Hunan, P. R. China;
2. Ultrasound Imaging Department, The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha 410021, Hunan, P. R. China;
3. Department of Pathology, Hunan Provincial People's Hospital(The First Affiliated Hospital of Hunan Normal University), Changsha 410005, Hunan, P. R. China

Received:2022-06-25 Online:2022-11-23 Published:2022-11-15

Abstract

Abstract: This paper explored the application value of transvaginal four-dimensional hysterosalpingography (TVS 4D-HyCoSy) in the diagnosis of tubal patency and contrast medium reflux. 102 cases of female infertility were examined by TVS 4D-HyCoSy and laparoscopy. Laparoscopy confirmed that of the 204 fallopian tubes, 43 were smooth, 89 were distal obstruction and 72 were proximal obstruction. The consistency Kappa of TVS 4D-HyCoSy and laparoscopic diagnosis of fallopian tube was 0.732 (P<0.05). The sensitivity, specificity, positive predictive value, negative predictive value and accuracy rate of TVS 4D-HyCoSy in the diagnosis of fallopian tube obstruction were more than 80.00%. The incidence of contrast medium reflux in secondary infertility was significantly higher than that in primary infertility (P<0.05). In contrast medium reflux patients, the diagnostic accuracy of TVS 4D-HyCoSy was significantly lower than that of patients without contrast medium (P<0.05). TVS 4D-HyCoSy has a good application value in the judgment of tubal patency and contrast medium reflux, contrast medium reflux has a certain relationship with the type of infertility, the reverse flow of contrast medium affects the diagnostic accuracy of TVS 4D-HyCoSy.

Key words: transvaginal four-dimensional hysterosalpingography, fallopian tube, contrast medium reflux, application value

ZHOU Qiong, LONG Xiangdang, LIU Xuefei, WANG Linling, WANG Xiaoli. Application of TVS 4D-HyCoSy in the Judgment of Tubal Patency and Contrast Medium Reflux[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(6): 1334-1338.

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Application of TVS 4D-HyCoSy in the Judgment of Tubal Patency and Contrast Medium Reflux

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