IMAGING SCIENCE AND PHOTOCHEMISTRY ›› 2022, Vol. 40 ›› Issue (6): 1370-1374.DOI: 10.7517/issn.1674-0475.220716

• Review and Articles • Previous Articles     Next Articles

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

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