论文部分内容阅读
目的:探讨应用子宫输卵管的超声造影对43例不孕症患者进行诊断的临床价值。方法:回顾2008年10月——2010年12月来我科检查的43例不孕症患者的临床资料,其中原发性不孕患者有26例,继发性不孕患者有17例。分别应用HSG(碘油造影)与HyCoSy(子宫输卵管的超声造影)对43例患者的81条输卵管进行检查,对这两种方法所使用的造影剂于输卵管中流动的过程进行对比观察,以判断输卵管的通畅程度。结果:检查结果不具有差异(P>0.05),选HSG作为诊断的标准,应用HyCoSy来评价输卵管的通畅性,其灵敏度为95.1%,其特异性为100.0%,其阳性预测值为100.0%,其阴性预测值为88.0%,其正确率为96.4%。结论:应用子宫输卵管的超声造影对输卵管源性的不孕症进行诊断,具有高度的敏感性与特异性,与HSG相较,简便易行,并且不具有放射线伤害,应予临床合理推广。
Objective: To investigate the clinical value of 43 cases of infertility diagnosed by uterine tubal contrast-enhanced ultrasound. Methods: The clinical data of 43 cases of infertility who were examined in our department from October 2008 to December 2010 were retrospectively reviewed. Among them, 26 cases were primary infertility and 17 cases were secondary infertility. 81 tubal tubes of 43 patients were examined with HSG (lipiodol angiography) and HyCoSy (uterine tubal contrast echocardiography) respectively. Contrast the contrast agent flow in the fallopian tube used by these two methods to judge Tubal patency. Results: There was no difference between the two groups (P> 0.05). HSC was used as the standard of diagnosis. HyCoSy was used to evaluate tubal patency. The sensitivity was 95.1%, the specificity was 100.0%, and the positive predictive value was 100.0% The negative predictive value was 88.0% with a correct rate of 96.4%. Conclusion: Uterine tubal contrast-enhanced ultrasonography can diagnose tubal infertility, which is highly sensitive and specific. Compared with HSG, it is simple and easy to operate and does not have radiation injury. It should be clinically and reasonably popularized.