经阴道三维超声输卵管造影的诊断价值研究

目的研究经阴道三维超声输卵管造影（3D-HyCoSy）对诊断输卵管通畅性的临床价值。方法对50例不孕症患者,采用SonoVue作为造影剂,行经阴道三维超声输卵管造影,与X线子宫输卵管造影（HSG）检查结果进行对照,并将腹腔镜检查作为金标准,比较其对输卵管通畅性的诊断价值。结果 3D-HyCoS与HSG检查结果对照,结果48例完全符合,诊断符合率96%,3D-HyCoSy与HSG的灵敏度和特异度差异无统计学意义（P〉0.05）。结论利用SonoVue超声造影剂进行3D-HyCoSy对输卵管显像清晰,并具有简便易行、无创、无辐射、高效率等优点,对输卵管性不孕症的诊断有较高的临床价值。

Study on the clinical diagnostic value of transvaginal 3D ultrasound contrast hysterosalpingography

Objective Study of transvaginal 3D ultrasound contrast hysterosalpingography（3D-HyCoSy） clinical value in the diagnosis of tubal patency.Method In 50 cases of infertility patients,using SonoVue as a contrast agent,transvaginal 3D ultrasound contrast hysterosalpingography,compared with the inspection results of the X-ray hysterosalpingography（HSG）,and the laparoscopic as the gold standard,the diagnostic value of comparison of two methods of fallopian tube patency.Result Comparison of 3D-HyCoSy and HSG examination,the results of the 46 cases in full compliance with,diagnostic accordance rate of 96%,no statistical significance of 3D-HyCoSy and HSG sensitivity and specificity differences（P 0.05）.Conclusion Using SonoVue ultrasound contrast agents for 3d-HyCoSy to tubal imaging clearly,and has the advantages of simple,non-invasive,non-radiation,high efficiency,etc.,has high clinical value on tubal infertility diagnosis.