目的 研究女性不孕症患者应用经阴道子宫输卵管四维超声造影(TVS 4 D-HyCoSy)评估输卵管通畅度的临床效果.方法 对312例女性不孕症患者行经阴道子宫输卵管四维超声造影(TVS 4D-HyCoSy)检查,评估输卵管的通畅情况.结果 312例患者592条输卵管显示情况:输卵管通畅340条,输卵管不通131条,输卵管通而不畅121条.其中31例(53条输卵管)行腹腔镜手术,与之对照,诊断准确率为86.8%.结论 经阴道四维超声造影能清晰地显示输卵管的通畅情况,可作为女性不孕症患者输卵管检查的有效方法.%Objective To investigate the clinical effects of transvaginal four-dimensional hysterosalpingo-contrast sonography (TVS 4D-HyCoSy) for tube patency in infertile patients.Methods Three hundred and twelve patients were examined with TVS 4D-HyCoSy to evaluate the patency of fallopian tube .Results Of 512 tubes,340 tubes were unobstructed ,131 tubes were obstructed and 121 tubes were partially obstructed .The results of 31 cases were compared with that of laparoscopy .The accuracy was 86.8%.Conclu-sion The fallopian tube patency could be clearly displayed by TVS 4D-HyCoSy,and the 4D-HyCoSy might become an effective method for tube patency in infertile patients .
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