摘要
目的探讨三维子宫输卵管超声造影(3D-HyCoSy)评价输卵管通畅性的可行性和准确性。方法选择206例(397条输卵管)不孕症患者,采用造影剂SonoVue及编码造影成像技术进行3D-HyCoSy检查。通过3D-HyCoSy评价输卵管的通畅性,并对其图像质量进行分析。42例患者同时接受腹腔镜下通染液检查,以此为金标准,与3D-HyCoSy结果进行对照分析。结果 96.60%(199/206)3D-HyCoSy图像质量优良,能很好地评价输卵管的通畅性。80条输卵管同时接受腹腔镜下通染液检查,以其结果作为对照,3D-HyCoSy诊断输卵管通畅性的准确率为90.00%(72/80),敏感度为94.83%(55/58),特异度为77.27%(17/22),阳性预测值为91.67%(55/60),阴性预测值为85.00%(17/20);判断输卵管的阻塞部位和阻塞程度的准确率为75.00%(60/80)。结论 3D-HyCoSy有望成为比较理想的评价输卵管通畅性的方法之一。
Objective To investigate the feasibility and accuracy of three-dimensional hysterosalpingo-contrast-sonography （3D-HyCoSy） for evaluating tubal patency. Methods Totally 206 infertile women （397 fallopian tubes） were enrolled. All patients underwent 3D-HyCoSy examination. SonoVue was used as contrast medium, and coded contrast imaging technique was adopted in 3D-HyCoSy. The tubal patency was evaluated, and image quality of 3D-HyCoSy was analyzed. Forty-two patients accepted laparoscopic hydrotubation, and the results were taken as the gold standards for tubal patency for analyzing those of 3D-HyCoSy. Results The image quality of 3D-HyCoSy was good in 96.60% （199/206） patients. Compared with results of laparoscopic hydrotubation, the accuracy of 3D-HyCoSy was 90.00% （72/80）, sensitivity was 94.83% （55/58）, specificity was 77.27% （17/22）, positive predictive value was 91.67% （55/60）, negative predictive value was 85.00% （17/20）. The accuracy of 3D-HyCoSy to determine the tubal occlusive position and degree was 75.00% （60/80）. Conclusion 3D-HyCoSy is accurate and feasible, which will be used as one of the promising methods for evaluating tubal patency.
出处
《中国医学影像技术》
CSCD
北大核心
2013年第2期256-259,共4页
Chinese Journal of Medical Imaging Technology
基金
首都医科大学附属北京妇产医院科研基金(201003)
关键词
不育
女性
输卵管
超声检查
造影剂
声诺维
Infertility, female
Fallopian tubes
Ultrasonography
Contrast media
SonoVue
