广西医科大学学报2017，Vol.34Issue(7)：980-983,4.DOI:10.16190/j.cnki.45-1211/r.2017.07.006
三维超声造影与子宫输卵管造影诊断输卵管性不孕的临床价值比较
Comparison of clinical value of three-dimensional ultrasound and hystero-salpingography in the diagnosis of tubal infertility
摘要
Abstract
Objective:To compare the clinical value of three-dimensional hysterosalpingo-contrast sonogra phy (3D-HyCoSy) and hystero-salpingography (HSG) in the diagnosis of tubal infertility.Methods:70 patients suspected with tubal infertility in our hospital from February 2015 to July 2016 were selected.All patients received 3D-HyCoSy and HSG examinations.The results were compared with hysteroscopy + hydrotubation with methylene blue.Results:Hysteroscopy+ hydrotubation with methylene blue tests showed that 7 cases were fallopian tube patency,25 cases were partial patency,38 cases were obstructed.The area under the ROC curve of 3D-HyCoSy and HSG for diagnosing tubal infertility were 0.931 and 0.932,respectively.There was no significant difference in specificity,sensitivity and accuracy between 3D-HyCoSy and HSG (P＞0.05).The Kappa consistency test showed that 3D-HyCoSy and HSG were highly consistent with hysteroscopy+hydrotubation with methylene blue (Kappa=0.849,Kappa=0.949;both P＜0.001).However,the severity of adverse reactions of 3D-HyCoSy was significantly lower than that of HSG (P＜0.05).Conclusion:The accuracy of 3D-HyCoSy for the diagnosis of tubal infertility was high and adverse reactions was less.It was of great value in clinical application.关键词
三维超声造影/子宫输卵管造影术/输卵管性不孕Key words
three-dimensional ultrasound/hystero-salpingography/tubal infertility分类
医药卫生引用本文复制引用
杨继,同俊义,张英伟,张慧..三维超声造影与子宫输卵管造影诊断输卵管性不孕的临床价值比较[J].广西医科大学学报,2017,34(7):980-983,4.基金项目
陕西省科技计划基金资助项目(No.2014K11-03-09-04) （No.2014K11-03-09-04）
陕西省卫生厅基金资助项目(No.2010C08) （No.2010C08）
