| 李载红,王圣坦,韩丽珍,陈 翩,钟婷婷.实时三维超声造影对输卵管伞端通畅性及功能的评价效果[J].,2022,(2):373-378 |
| 实时三维超声造影对输卵管伞端通畅性及功能的评价效果 |
| Evaluation of the Patency and Function of Fimbria end of Fallopian Tube by Three-dimensional Contrast-enhanced Ultrasound |
| 投稿时间：2021-07-03 修订日期：2021-07-26 |
| DOI：10.13241/j.cnki.pmb.2022.02.034 |
| 中文关键词: 三维超声造影 输卵管伞端通畅性 输卵管阻塞 实时三维超声造影 静态三维 |
| 英文关键词: Three dimensional contrast-enhanced ultrasound The fimbria end of fallopian tube was unobstructed Tubal obstruction Real time three-dimensional contrast-enhanced ultrasound Static 3D |
| 基金项目:海南省重点研发计划项目（ZDYF2019185） |
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| 中文摘要: |
| 摘要 目的：探讨实时三维超声造影对输卵管伞端通畅性及功能的评价效果。方法：选取我院2019年6月到2021年6月收治的120例因不孕症自愿接受RT 3D-HyCoSy检查的患者作为研究对象，对所有患者分别应用静态三维与实时三维超声造影，并以腹腔镜下美兰通染液检查作为金标准，记录与分析相关指标。结果：120例患者共240条输卵管，美兰通染液检查诊断发现输卵管通畅58条，阻塞/粘连182条，实时三维超声造影检查发现通畅51条，阻塞/粘连189条，静态三维通畅44条，阻塞/粘连196条，实时三维超声造影与静态三维联合通畅56条，阻塞/粘连184条。实时三维超声造影与静态三维联合诊断组、实时三维超声造影组这两组的准确度、特异度、灵敏度、阳性预测值、阴性预测值均高于静态三维组（P＜0.001）；120名患者通过临床综合诊断发现，35例一侧输卵管阻塞患者，64例双侧输卵管阻塞患者，21例双侧输卵管通畅患者，不同输卵管通畅性三组患者推注压力、VAS评分、造影剂注入量、造影剂返流量对比差异显著（P＜0.05）、通畅与阻塞患者造影剂通过输卵管间质部时间及造影剂通过输卵管伞端时间对比差异显著（P＜0.05）。结论：对于不孕症患者应用RT 3D-HyCoSy，经检查输卵管伞端粘连和通畅性，进而诊断输卵管通畅性，为不孕症的诊断与治疗提供一定的参考意见。此外，应用实时三维超声造影与静态三维超声能提升输卵管伞端通畅性诊断率，值得临床应用推广。 |
| 英文摘要: |
| ABSTRACT Objective: To evaluate the patency and function of the fimbria end of fallopian tube by three-dimensional contrast-enhanced ultrasound. Methods: A total of 120 patients admitted to our hospital from June 2019 to June 2021 who voluntarily underwent RT 3D-hycosy examination due to infertility were selected as the research objects. All patients were respectively applied static three-dimensional and real-time three-dimensional contrast-enhanced ultrasound, and the examination of Meilantone solution under laparoscopy was taken as the gold standard to record and analyze the relevant indicators. Results: There were 240 fallopian tubes in 120 patients, 58 tubes were unobstructed, 182 tubes were obstructed / adhered, and 63 tubes were unobstructed, 177 tubes were obstructed / adhered by real-time three-dimensional contrast-enhanced ultrasound, Static 3D patency 44, obstruction/adhesion 196, real-time 3D ceUS and static 3D combined patency 66, obstruction/adhesion 184; The accuracy, specificity and positive predictive value of the combined diagnosis of real-time 3D ceUS and static 3D were significantly higher than those of real-time 3D ceUS and static 3D, while the sensitivity and positive predictive value were lower than those of real-time 3D ceUS and static 3D. There were 35 cases of unilateral fallopian tube obstruction, 64 cases of bilateral fallopian tube obstruction and 21 cases of bilateral fallopian tube patency. There were significant differences in injection pressure, VAS score, contrast agent injection volume, time of contrast agent passing through the interstitium of the fallopian tube and time of contrast agent passing through the umbrella end of the fallopian tube contrast agent reflux among the three groups with different fallopian tube patency(P<0.05). Conclusion: The RT-3D-HYCOSY was applied to infertility patients. By examining the adhesion and patency of the tubal umbrella, the patency of the fallopian tube was diagnosed, so as to provide reference for the diagnosis and treatment of infertility. In addition, the application of real-time three-dimensional contrast-enhanced ultrasound and static three-dimensional ultrasound can improve the diagnostic rate of tubal parasol patency, which can be clinical application and promotion. |
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