4D-HyCoSy结合造影剂逆流时宫腔压力测量评价输卵管通畅度的诊断价值

doi:10.13418/j.issn.1001-165x.2022.2.22

摘要/Abstract

摘要： 目的探讨四维子宫输卵管超声造影（4D-HyCoSy）结合造影剂逆流时宫腔压力测量评价输卵管通畅度的诊断价值。方法选取2018年1月~ 2019年12月于我院行4D-HyCoSy检查的不孕症患者150例，观察发生逆流者的声像图特征，对不同输卵管通畅度患者的逆流发生率及造影剂推注压力进行比较。结果 4D-HyCoSy诊断输卵管通畅度与腹腔镜通液检查符合率为74.67%，二者结果具有一致性（P<0.05）。150例患者中发生逆流有37.33%（56例），包括子宫肌层逆流67.86%（38例），宫旁静脉丛逆流32.14%（18例）。双侧通畅、双侧阻塞、不完全通畅或一侧通而不畅一侧阻塞两两比较，输卵管注药压力具有统计学差异（P<0.05）。ROC曲线图结果显示，联合诊断AUC、灵敏度、约登指数均高于单一4D-HyCoSy诊断结果（P<0.05）。结论 4D-HyCoSy结合造影剂逆流时宫腔压力测量能够提高对输卵管通畅度的诊断率。

关键词: 四维子宫输卵管超声造影, 　逆流, 　宫腔压力, 　输卵管通畅度

Abstract: Objective　To investigate the diagnostic value of four-dimensional hysterosalpingography (4D-Hycosy) combined with contrast media in intrauterine pressure measurement for the evaluation of tubal patency.　Methods　A total of 150 infertile patients who underwent 4D-Hycosy examination in our hospital from January 2018 to December 2019 were selected to observe the sonographic characteristics of patients with countercurrent. The incidence of countercurrent and the injection pressure of contrast media in patients with different tubal patency were compared.　Results　The coincidence rate between 4D-Hycosy in the diagnosis of tubal patency and laparoscopic liquid was 74.67%. 4D-Hycosy was consistent with laparoscopy in the diagnosis of tubal patency (P<0.05). Among the 150 cases, 56 cases (accounting for 37.33%) had countercurrent, including 38 cases (accounting for 67.86%) of myometrial countercurrent and 18 cases (accounting for 32.14%) of parauterine venous plexus countercurrent. There were statistical differences in tubal injection pressure by pairwise comparison of bilateral patency, bilateral obstruction, incomplete patency or obstruction on one side (P<0.05). ROC curve showed that AUC, sensitivity and Yoden index of combined diagnosis were higher than those of single 4D-Hycosy (P<0.05).　Conclusions　4D-Hycosy combined with contrast media in intrauterine pressure measurement can improve the diagnostic value of tubal patency.

Key words: 4D-HyCoSy; , , Countercurrent;　 Uterine pressure;　 Tubal patency

中图分类号:

R445.1

常叶, 王琳琳, 蔺春红. 4D-HyCoSy结合造影剂逆流时宫腔压力测量评价输卵管通畅度的诊断价值[J]. 中国临床解剖学杂志, 2022, 40(2): 234-238.

Chang Ye, Wang Linlin, Lin Chunhong. Assessment of 4D-HyCoSy combined with contrast media in uterine pressure measurement for the evaluation of tubal patency[J]. Chinese Journal of Clinical Anatomy, 2022, 40(2): 234-238.

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