首页|经阴道实时三维超声输卵管造影结合彩色多普勒血流显像检查评估不孕症患者输卵管通畅性的价值

经阴道实时三维超声输卵管造影结合彩色多普勒血流显像检查评估不孕症患者输卵管通畅性的价值

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目的 探讨经阴道实时三维超声输卵管造影(RT-3D-HyCoSy)结合彩色多普勒血流显像(CDFI)检查评估不孕症患者输卵管通畅性的价值.方法 选取 2019 年 1 月至 2023 年 2 月在安徽省六安世立医院就诊的 96 例不孕症患者作为研究对象,所有研究对象均接受RT-3D-HyCoSy、CDFI等检查,以腹腔镜或X线子宫输卵管碘油造影结果为金标准,分析RT-3D-HyCoSy、CDFI判断输卵管通畅情况的价值.结果 RT-3D-HyCoSy判断输卵管通畅性与输卵管碘油造影或腹腔镜手术结果具有一致性,Kappa值为 0.819,P<0.05,RT-3D-HyCoSy判断输卵管通畅性准确率为 88.54%.输卵管通畅患者子宫动脉收缩期峰值血流速度(PSV)为(36.76±5.52)cm/s,大于通而不畅患者[(31.18±6.02)cm/s]和阻塞患者[(27.12±5.98)cm/s],差异有统计学意义(P<0.05),而搏动指数(PI)和阻力指数(RI)分别为 2.03±0.67 和 0.76±0.10,低于通而不畅(2.65±0.58)和0.83±0.11)阻塞患者(2.92±0.55 和 0.90±0.12),差异有统计学意义(P<0.05).Logistic回归分析显示,PSV、PI和RI是输卵管通畅的影响因素(P<0.05).PSV、PI和RI诊断输卵管通畅的ROC曲线下面积分别为 0.741、0.722 和 0.747(P<0.05).RT-3D-HyCoSy结合 CDFI检查评估输卵管通畅的灵敏度和阴性预测值分别为 97.14%和 98.15%,高于 RT-3D-HyCoSy(82.85%和 90.63%),而特异度和阳性预测值分别为 86.69%和 80.95%,低于RT-3D-HyCoSy(96.08%和 90.63%),但差异无统计学意义(P>0.05).结论 RT-3D-HyCoSy结合CDFI检查评估不孕症患者输卵管通畅性有较好的应用价值,值得进一步研究.
The value of RT-3D-HyCoSy combined with CDFI in evaluating tubal patency in infertile patients
Objective To explore the value of transvaginal real-time three-dimensional hysterosalpingo-contrast sonography unblocked were 2.03±0.67 and 0.76±0.10,respectively,which were significantly lower than those in patients with fallopian tube partial obstruction(2.65±0.58 and 0.83±0.11)and fallopian tube obstruction(2.92±0.55 and 0.90±0.12)(all P<0.05).Logistic regression analysis showed that PSV,PI,and RI were the influencing factors for tubal patency(all P<0.05).The area under the ROC curve values of PSV,PI and RI for diagnosis of tubal patency were 0.741,0.722 and 0.747,respectively(P<0.05).The sensitivity and negative predictive value of RT-3D-HyCoSy combined with CDFI in assessing tubal patency were 97.14%and 98.15%,respectively,which were higher than RT-3D-HyCoSy alone(82.85%and 90.63%)(P>0.05).The specificity and positive predictive value of RT-3D-HyCoSy combined with CDFI in assessing tubal patency were 86.69%and 80.95%,respectively,which were lower than RT-3D-HyCoSy alone(96.08%and 90.63%)(P>0.05).Conclusion RT-3D-HyCoSy combined with CDFI has good application value in evaluating tubal patency in infertile patients and deserves further study.

Transvaginal real-time three-dimensional hysterosalpingo-contrast sonographyColor Doppler flow imagingInfertilityTubal patency

陈孝宪、鲁正贤、卫耀阳

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237000 安徽 六安,安徽省六安世立医院超声科

经阴道实时三维超声输卵管造影 彩色多普勒血流显像 不孕症 输卵管通畅性

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(7)