中国现代医生2025，Vol.63Issue(14)：18-21,4.DOI:10.3969/j.issn.1673-9701.2025.14.005
三维超声子宫输卵管造影对不孕症的诊断及输卵管通畅度的临床分析
Diagnosis of infertility and clinical analysis of fallopian tube patency by three-dimensional ultrasonic hysterosalpingography
摘要
Abstract
Objective To explore the diagnosis of infertility and clinical analysis of tubal patency by three-dimensional ultrasonic hysterosalpingography.Methods A total of 102 infertility patients admitted to Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University from December 2022 to December 2024 were selected as the study objects to analyze the diagnosis of infertility and the clinical application of three-dimensional ultrasound hysterosalpingography on tubal patency.Results Of 102 infertility patients,the detection rate was 97.06％,the misdiagnosis rate was 0,and the missed diagnosis rate was 2.94％.The sensitivity,specificity and area under the curve of three-dimensional ultrasound hysterosalpingography for infertility were 72.65％,84.83％and 0.819.A total of 204 fallopian tubes were examined in 102 patients.Hysteroscopic fallopian tube staining showed patency(30.39％),obstruction(31.37％),and three-dimensional ultrasonic hysterosalpingography showed patency(31.86％),obstruction(32.35％).Compared with inflammation,the injection pressure,flow time and reverse flow of contrast agent in tumor and cyst lesions and congenital dysplasia were decreased(P<0.05),but there was no significant difference between tumor and cyst lesions and congenital dysplasia(P<0.05).In 102 patients,there was no hypersensitivity or other adverse reactions in the examination of three-dimensional ultrasound hysterosalpingography,and the satisfaction rate was 96.08％.Conclusion Three-dimensional ultrasound hysterosalpingography has a high diagnostic value for infertility,and can effectively evaluate the patency of fallopian tube,with high safety and patient satisfaction.关键词
三维超声子宫输卵管造影/不孕症/输卵管通畅度Key words
Three-dimensional ultrasonic hysterosalpingography/Infertility/Tubal patency分类
临床医学引用本文复制引用
金晓可,陈丽婷,程慧芳,胡素芝..三维超声子宫输卵管造影对不孕症的诊断及输卵管通畅度的临床分析[J].中国现代医生,2025,63(14):18-21,4.基金项目
浙江省丽水市级自筹类公益性技术应用研究项目(2023SJZC003) （2023SJZC003）
