三维超声造影在评估输卵管通畅性中的应用分析

科研成果详情

题名	三维超声造影在评估输卵管通畅性中的应用分析
其他题名	The application value in the evaluation of the patency of the fallopian tube by three-dimensional SonoVue-hysterosalpingo-contrast sonography
作者	余彩茶 1,2; 水旭娟 1,2; 焦岩 1,2; 林媛媛 1,2; 王叶平1,2; 王秀丽 1,2
发表日期	2014-08-28
发表期刊	中国现代医生影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	三维输卵管子宫输卵管造影术不孕
其他关键词	Three-dimensional ; Fallopian tubes ; Hysterosalpingography ; Infertility
摘要	目的探讨经阴道三维超声造影在评估输卵管通畅性中的应用价值。方法收集2011年9月~2013年3月我院就诊的不孕患者274例共539条输卵管,全部患者均选择月经干净后3~7 d、宫腔置管注入SonoVue行经阴道三维超声造影术,在造影模式下动态观察输卵管情况,并采用经阴道三维超声造影重建技术评估输卵管通畅性;67例与腹腔镜下美兰通液术或X线碘油造影结果对照。结果 274例患者共539条输卵管(其中9例一侧输卵管切除术后),输卵管通畅230条,输卵管通而不畅224条,输卵管堵塞85条,其中输卵管积水7条;274例中造影剂逆流入子宫肌层及宫旁静脉丛3例;67例与腹腔镜或X线碘油造影对比显示其敏感性86.67%,特异性100%,阳性预测值96.30%,阴性预测值98.25%。结论三维超声造影诊断输卵管通畅性简便易行,能全面、准确地显示输卵管情况且安全有效,有望成为输卵管通畅性评估的新方法。
其他摘要	Objective To assess the clinical value of three-dimensional hysterosalpingo-contrast sonography (3D Hy-CoSy)in patients with tubal infertility. Methods A total of 274 patients with infertility(totally 539 the fallopian tubes)from September 2011 to March 2013 in our hospital,all patients were choose 3~7 days after menstruation clean,Transvaginal three-dimensional ultrasound imaging by injecting SonoVue through the uterine tube,with dynamic obser-vation of fallopian tube in imaging mode,by adopting of transvaginal three-dimensional ultrasound imaging reconstruc-tion technology evaluate tubal patency. The result of transvaginal three-dimension ultrasound imaging among 67 cases were compared with laparoscopic Meilan hydrotubation or X-ray hysterosalpingography (HSG). Results Among 539 oviducts, 230 oviducts were diagnosed patency by HyCoSy,224 oviducts were incompletehy obstructed, and 85 oviducts were completely obstructed among which 7 were hydrosalpinx; 3 out of 274 cases were contrast medium reflux into myometrium and venous plexus nearby; The sensitivity of 3D HyCoSy was 86.67%,which compared with the re-sults of HSG and laparoscopy,specificity was 100%,positive predictive value was 96.30%, negative predictive value was 98.25%. Conclusion 3D-HyCoSy in the diagnosis of fallopian tube patency is simple, safety and effective,fully and accurately displaying the shape of uterine tube . This technique is hopeful to become an effective method to diag-nose patients with tubal infertility.
资助项目	浙江省温州市科技局立项课题（Y20120058）;浙江省医药卫生科技计划（2013ZHA014）
ISSN	1673-9701
卷号	52 期号:24 页码:56-59
页数	4
收录类别	CNKI ; 万方 ; 维普
URL	查看原文
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/51253
专题	附属第一医院_妇科
作者单位	1.浙江省温州市人民医院; 2.温州医科大学第三临床医院妇科B超室
第一作者单位	温州医科大学
推荐引用方式 GB/T 7714	余彩茶,水旭娟,焦岩,等. 三维超声造影在评估输卵管通畅性中的应用分析[J]. 中国现代医生,2014,52(24):56-59.
APA	余彩茶, 水旭娟, 焦岩, 林媛媛, 王叶平, & 王秀丽. (2014). 三维超声造影在评估输卵管通畅性中的应用分析. 中国现代医生, 52(24), 56-59.
MLA	余彩茶,et al."三维超声造影在评估输卵管通畅性中的应用分析".中国现代医生 52.24(2014):56-59.

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