Application of MR-HSG in the Diagnosis of Tubal Patency of Infertile Women
Objective To analyze the application value of MR-HSG in the diagnosis of tubal patency of infertile women.Methods A total of 102 patients with infertility admitted to our hospital from January 2021 to December 2022 were selected,and all cases received MR-HSG examination.The value of MR-HSG in the diagnosis of tubal patency was analyzed with the results of X-ray salpingography as the gold standard.Results Among 102 patients,40 cases of fallopian tube obstruction and 62 cases of unobstructed fallopian tubes were detected by X-ray salpingography,and the fallopian tube obstruction rate was 39.22%(40/102).39 cases of fallopian tube obstruction were detected by MR-HSG,and the detection rate of fallopian tube obstruction was 98.50%(39/40).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of MR-HSG in diagnosing tubal patency were 95.00%(38/40),98.39%(61/62),97.06%(99/102),97.44%(38/39)and 96.83%(61/63),respectively.Kappa test showed that the consistency between MR-HSG and X-ray salpingography was excellent(Kappa value=0.938,P=0.000).Conclusions MR-HSG has high value in the diagnosis of tubal patency of infertile women.It can accurately detect tubal obstruction and has high consistency with X-ray salpingography,which is helpful for early diagnosis and treatment.