摘要: |
目的:探讨超声造影在输卵管源性不育症患者诊断中的临床应用价值。方法:本研究选取176例输卵管源性不育症患者(共335条输卵管),采用子宫输卵管超声造影,观察输卵管超声造影表现情况,并与腹腔镜输卵管通液术比较。结果:与腹腔镜输卵管通液术比较,超声造影诊断输卵管源性不育症的敏感度、特异度和诊断准确率分别为92.2%(237/257)、82.1%(64/78)和89.9%(301/335)。超声造影结果显示40例患者(22.7%,40/176)78 条输卵管通畅。超声造影表现为双侧输卵管规则,输卵管走行柔软,无输卵管积水,并且双侧输卵管内造影剂同时喷射入盆腔,造影剂进入盆腔后弥散均匀。136 例(77.3%,136/176)257条输卵管阻塞。超声造影表现为单侧或双侧输卵管不显影、节段性显影或显影不同步。输卵管局部纤细或增粗,造影剂极少量或不溢入盆腔。造影剂进入盆腔后无弥散或不均匀弥散。腹腔镜输卵管通液术结果显示43例患者(24.4%,43/176)84输卵管通畅,推注亚甲蓝注后出现大量亚甲蓝溢出。133 例(75.6%,133/176)251条输卵管阻塞,推注亚甲蓝注后,输卵管伞端无或仅有少量亚甲蓝溢出。结论:超声造影对输卵管源性不育症患者诊断的灵敏度、特异度和准确率均较高,为临床诊断此病提供可靠的诊断依据,值得临床推广应用。 |
关键词: 超声造影 输卵管源性不育症 诊断 |
DOI: |
投稿时间:2016-12-11修订日期:2016-12-11 |
基金项目: |
|
The clinical application value of contrast-enhanced ultrasound in the diagnosis of tubal infertility |
suhong,yangyong |
() |
Abstract: |
Objective: To explore the clinical application value of contrast-enhanced ultrasound (CEU) in the diagnosis of tubal infertility(TIF). Methods: 335 fallopian tubes from 176 subjects diagnosed as infertility. All of them were diagnosed by CEU. Laparoscopic hydrotubation (LH) were also performed as a standard diagnosis, and then compared with the results of CEU diagnosis. Results: Compared with LH, the sensitivity, specificity and accuracy values of CEU in the diagnosis of fallopian tubes obstruction were 92.2% (237/257), 82.1%(64/78) and 89.9% (301/335) respectively. The results of CEU showed that 78 fallopian tubes from 40 subjects (22.7%, 40/176) were unobstructed and 257 fallopian tubes from 136 patients (77.3%, 136/176) were obstructed. For unobstructed subjects, the fallopian tubes were normal, soft and hydrosalpinx. Contrast agents showed even dispersion after injected into the pelvic cavity through both fallopian tubes. For obstructed subjects, fallopian tubes were discontinuity and irregularity, and few or no contrast agents, when injected the contrast agents through both fallopian tubes. No or uneven overflow of contrast agents were found dispersion in the pelvic cavity. The results of LH showed that 84 fallopian tubes from 43 subjects (24.4%, 43/176) were unobstructed and 251 fallopian tubes from 133 patients (75.6%, 133/176) were obstructed. In addition, the results of LH also showed a large amount of injection overflow was found in unobstructed patients, while little or no injection overflow was found in obstructed patients. Conclusions: CEU has high values of sensitivity, specificity and accuracy in the diagnosis of TIF, which plays an important role in diagnosis for patients suffering from TIF, and thus deserves to apply to the clinic. |
Key words: Contrast-enhanced Ultrasound Tubal infertility Diagnosis |