子宫输卵管超声造影评价输卵管通畅性的临床研究

目的 探讨经阴道子宫输卵管超声造影(HyCoSy)评价输卵管通畅性的临床应用价值及其副反应情况.方法 对30例不孕症妇女行经阴道HyCoSy,其结果与腹腔镜直视下输卵管通染液术对照分析,分级评估其副反应情况.结果 与腹腔镜检查结果比较,HyCoSy诊断输卵管通畅性的敏感性、特异性、阳性预测值、阴性预测值及诊断符合率分别为91.7％、75.0％、84.6％、85.7％及85.0％,差异无统计学意义.30例患者中,副反应0级5例(16.7％),1级6例(20.0％),2级10例(33.3％),3级7例(23.3％),4级2例(6.7％),所有患者均无并发症发生.结论 经阴道HyCoSy可有效评价输卵管通畅性,且安全、无创,副反应较小,可用于临床评价不孕症患者输卵管通畅性的首选方法.

Clinical value of hysterosalpingo-contrast-sonography on fallopian tube patency

Objective To evaluate the clinical value of the hysterosalpingo-contrast-sonography（HyCoSy） on fallopian tube patency, and its sides effects.Methods Thirty infertile women were examined by SonoVue-HyCoSy through transvagina ultrasonography to assess the fallopian tube patency.The results were then compared with those of patency test with laparoscope and dye.The side effects were evaluated with the grade of 5-points numeric rating scale.Results For HyCoSy,the sensitivity, specificity,positive predictive value,negative predictive value and diagnostic accuracy were 91.7% ,75.0%, 84.6% ,85.7% and 85.0%, respectively.There were no statistical differences in diagnostic rates of fallopian tubal patency between HyCoSy and patency test with laparoscope and dye.From 0 to 4 grades of side effects, there were 5 （16.7%）, 6 （20.0%）, 10 （33.3 % ）, 7 （23.3%） and 2 cases （6.7%）, respectively.No complications occur in any patient.Conclusion HyCoSy can be used to effectively evaluate the fallopian tube patency and has advantages such as good safety, noninvasiveness and little side effects for infertile women.