摘要
目的:通过核素输卵管造影(radionuclide hysterosalpingography,RNHS)与X线子宫输卵管造影(X-ray hysterosalpingography,X-HSG)续贯检查,研究其对不孕症患者输卵管病变的诊断价值及可行性。方法:选择至少一侧输卵管通畅或通而不畅的不孕症女性患者为研究对象。回顾性分析2020年1月—2021年12月间于潍坊医学院附属医院采用SPECT/CT仪续贯行RNHS和X-HSG的200例不孕症女性患者作为观察组。另选择2018年1月—12月间隔至少1月分别行X-HSG及RNHS检查的150例怀疑输卵管原因的不孕症女性患者作为对照组。对两组资料进行对比分析。结果:观察组和对照组的输卵管异常检出率分别为90.62%(338/373)、89.40%(252/282),差异无统计学意义(P>0.05)。观察组和对照组RNHS在输卵管功能方面的检查结果比较显示差异不显著(P>0.05);X-HSG在判断输卵管形态方面结果比较显示差异不显著(P>0.05)。结论:观察组续贯检查与对照组分次检查比较,其对输卵管异常检出率、输卵管的形态及通畅情况判断、输卵管功能损伤程度诊断等均无统计学差异,显示了输卵管性不孕症患者利用SPECT/CT仪续贯行RNHS和X-HSG的可行性,创新性为临床选择了诊断输卵管性不孕症患者的输卵管形态及功能状态的良好检查方法。
Objective To study the diagnostic value and feasibility of continuous radionuclide hysterosalpingography(RNHS)and X-ray hysterosalpingography(X-HSG)in infertile patients with fallopian tube lesions.Methods Female patients with infertility whose fallopian tubes were unobstructed or partially obstructed on at least one side were selected as the subjects of the study.A retrospective analysis was made on 200 infertile female patients who received RNHS and X-HSG continuously with SPECT/CT instrument in the Affiliated Hospital of Weifang Medical University from January 2020 to December 2021 as the observation group.In addition,150 female patients with suspected tubal infertility were selected as the control group,who received RNHS and X-HSG respectively at least one month interval from January 2018 to December 2018.Contrastive study and analysis were performed about the data of two groups.Results The detection rates of fallopian tube abnormalities in the observation group and the control group were 90.62%(338/373),89.40%(252/282),the difference was not statistically significant(P>0.05).The comparison of the results of RNHS in fallopian tube function between the observation group and the control group showed no significant difference(P>0.05).And the comparison of the results of X-HSG in judging the shape of fallopian tube showed no significant difference(P>0.05).Conclusion The continuous examination of observation group compared with the separate examination of control group,there is no statistical difference in the detection rate of abnormal fallopian tube,the judgment of tubal shape and patency,and the diagnosis of tubal function damage,which showed the feasibility of using SPECT/CT instrument to continue RNHS and X-HSG in patients with tubal infertility.It innovatively chooses a good examination method for the diagnosis of tubal shape and function in patients with tubal infertility.
作者
朱德苑
刘志翔
白亚楠
刘元奎
徐杨杨
田凯凯
李爱媛
ZHU Deyuan;LIU Zhixiang;BAI Yanan;LIU Yuankui;XU Yangyang;TIAN Kaikai;LI Aiyuan(Department of Nuclear Medicine,the Affiliated Hospital of Weifang Medical University,Weifang,Shandong 261031,China)
出处
《影像研究与医学应用》
2022年第14期7-9,共3页
Journal of Imaging Research and Medical Applications
基金
潍坊市科学技术发展计划项目(2020GX024)。
