经阴道三维子宫输卵管超声造影在不孕症中的应用价值

摘要

Objective To explore the clinical value of transvaginal three-dimensional hysterosalpingography ultrasound angiography (3D-HyCOSy) infertility.Methods The 52 patients with primary and secondary infertility,which were diagnosed in our hospital,were randomly divided into two groups,the 3D-HyCOSy group and X-ray hysterosalpingography (HSG) group,26 cases for each group,and comparative analysis was conducted by self-control according to the results of laparoscopy.Results Among the 26 cases of 3D-HyCOSy group,there were 36 tubals accounted for 34.62％(36/52),31 passable ones accounted for 29.81％,37 blocking ones accounted for 35.58％.In 26 cases of HSG group,among 52 diagnosis of tubal patency,there were 27 ones accounting for 25.96％,29 passable accounted for 27.88％,blocking 48％ of 46.15％.The laparoscopic examination prompted the 3D-HyCOSy group coincidence rate (80.39 ± 2.5)％,the HSG group (59.08 ± 5.73)％,the phase difference of the two groups was statistically significant (P ＜ 0.05).Conclusion The 3D-HyCOSy diagnosis of infertility has the following advantages:simple,safe,reliable,effective,no radiation,repeatable observations,diagnosis and identification of uterine lesions of the uterus and fallopian tubes patency is significantly better than those of traditional HSG.%目的 观察经阴道三维子宫输卵管超声造影(3D-HyCOSy)在不孕症中的应用价值.方法 将我院诊断的原发性与继发性不孕症患者52例随机分为两组,每组各26例,3D-HyCOSy组与X线子宫输卵管造影(HSG)组,并与腹腔镜检查结果进行自身对照比较分析.结果 3D-HyCOSy组26例52条输卵管通畅36条占34.62％,通而不畅31条占29.81％,阻塞37条占35.58％.HSG组26例52条诊断输卵管通畅27条占25.96％,通而不畅29条占27.88％,阻塞48条占46.15％.经腹腔镜检查提示3D-HyCOSy组符合率为(80.39±2.5)％,而HSG组为(59.08±5.73)％,两组相比较差异有统计学意义(P＜0.05).结论 3D-HyCOSy诊断不孕症是一种简便、有效、经济、安全、可靠、无辐射又可重复观察等优点,对子宫宫腔病变和输卵管的通畅性的诊断及鉴别明显优于传统的HSG.