子宫输卵管超声重复造影评价输卵管通畅性的临床价值

目的 分析重复四维子宫输卵管超声造影在评价输卵管通畅性的可行性及临床价值.方法 选取2015年1月—2018年7月于青岛市市立医院行四维子宫输卵管超声造影检查,且结果显示单侧或双侧输卵管完全阻塞的140例患者作为研究对象.按照自愿原则分为单次造影组和重复造影组,比较两组检查结果与腹腔镜检查结果的一致性,分析重复造影与单...

Clinical value of repeated hysterosalpingo contrast sonography inevaluating patency of fallopian tube

Objective To analyze the feasibility and clinical value of repeated 4D-hysterosalpingo contrastsonography in evaluating the patency of fallopian tube. Methods The patients who have complete obstruction ofunilateral or bilateral fallopian tubes by 4D-HyCoSy inspection in our hospital from January 2015 to July 2018 wereselected as the research objects. The patients were divided into the single angiography group and repeat angiographygroup according to the principle of voluntary selection. The consistency of examination results between the twogroups and the results of laparoscopy was compared, and the clinical data of patients with inconsistent results ofrepeat angiography and single angiography were analyzed, while the adverse reactions of patients in the two groupswere compared. Results The coincidence rate of single angiography and repeat angiography with laparoscopy was87.9% and 95.2%. The results of single angiography had good consistencies with the results of laparoscopy(Kappa = 0.760), but the repeat angiography was better (Kappa = 0.905). The proportion of horizontal uterine anddistal fallopian tube obstruction, tube depth/intimal line length, and balloon volume were significantly higher inpatients with two inconsistent angiography results than in patients with two consistent angiography results (P <0.05). NRS pain scores of patients in the repeat angiography group were significantly higher than those in the singleangiography group (P < 0.05). Conclusion The repeated 4D-HyCoSy was used in patients with unilateral or bilateral fallopian tubes obstruction in order to improve the accuracy of imaging results.