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
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)
ISSN1673-9701
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
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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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