摘要
目的 探讨四维子宫输卵管造影（4D-HyCoSy）检查对宫外孕保守治疗后输卵管通畅性的评估价值。 方法 选取36例成功经腹腔镜保守治疗的宫外孕患者，于月经结束后3～7 d接受4D-HyCoSy检查，以宫腹腔镜下美兰通液（LC）检查作为金标准评估4D-HyCoSy检查敏感度、特异度、准确度。 结果 经LC检查证实，本组36例中31例输卵管畅通，5例输卵管阻塞；4D-HyCoSy检查显示30例输卵管畅通，5例输卵管阻塞，敏感度为96.77%（30/31）、特异度为100.00%（5/5）、准确度为97.22%（35/36）。 结论 四维子宫输卵管造影检查可快速、实时诊断宫外孕患者保守治疗后输卵管通畅性，且能对其进行动态评价，操作简单，敏感度、特异度、准确度较高，具有推广价值。
Objective To investigate the clinical value of four-dimensional uterine tube radio- graphy （4D-HyCoSy） in the diagnosis of tubal patency after conservative treatment of eetopie pregnancy. Methods Thirty-six patients with ectopic pregnancy treated by laparoscopic conservative treatment were selected and underwent a 4D-HyCoSy test after 3 to 7 days of menstruation. The sensitivity, specificity and accuracy of 4D-HyCoSy were evaluated by laparoscopic meilan tong liquid （LC） examination. Results The results of LC examination confirmed that 31 cases of tubal smooth and 5 cases of fallopian tube obstruction were found in 36 cases. The sensitivity and specificity of tubal obstruction were 96. 77% （30/31） and 100. 00% （5/5） respectively. The accuracy was 97.22% （35/36） in the 4D-HyCoSy examination. Conclusions Four-dimensional hysterosalpingography can promptly diagnose tubal patency of ectopic pregnancy patients after conservative treatment, and it can make dynamic evaluation. It has the advantages of simple operation, sensitivity, specificity and accuracy.
出处
《中国实用医刊》
2017年第17期86-88,共3页
Chinese Journal of Practical Medicine
关键词
四维子宫输卵管造影
宫外孕
保守治疗
输卵管通畅性
Four-dimensional radiography
Ectopic pregnancy
Conservative treatment
Tubalpatency
