经阴道四维子宫输卵管超声造影与X线子宫输卵管造影在输卵管通畅性诊断的对比

摘要

目的：比较经阴道子宫输卵管四维超声造影（TVS 4D-HyCoSy）与X线子宫输卵管造影(X-HSG)评价输卵管通畅性的一致性。方法本研究对2015年1月至2015年11月前来就诊的72例女性不孕症患者采用新型微泡对比剂行经阴道四维造影技术(TVS 4D-HyCoSy)评判输卵管的通畅性，实时动态观察对比剂在宫腔、输卵管内流动的过程及其显影效果，并与X线子宫输卵管造影（X-HSG）进行对比。结果72例不孕症患者行TVS 4D-HyCoSy检查144条输卵管。以X-HSG为标准，超声造影评价输卵管通畅的符合率为94.74%（72/76），通而不畅的符合率为85.71（28/24），积水的符合率100%（20/20），阻塞的符合率为100%（24/24)，总体符合率为94.44%。2种方法判断输卵管通畅性的能力相当（P>0.05），且均未出现与对比剂相关的不良反应。结论应用TVS 4D-HyCoSy能安全、有效地显示子宫输卵管的形态，并准确判断其通畅性，是检查输卵管通畅性的有效方法。%ABSTRACT:Objective To compare the accordance of transvaginal four-dimensional hysterosalpingo-contrast sonograpny (TVS 4D-HyCoSy ) and hysterosalpingography ( HSG) in the assessment of tubal patency. Methods TVS 4D-HyCoSy was performed in all 142 fallopian tubes of 72 infertile women from January 2015 to November 2015, Real-time assessment of tubal patency was conducted by monitoring motion and its enhancement effect of contrast atent in the endometrial cavith and tuballumen, and the results were com-pared with those results of HSG. Results Through the TVS 4D-HyCoSy, there were 144 oviducts of 72 infertility patients.Took X-HSG as the standard, ultrasonic contrast evaluation of tubal patency coincindence rate was 94.74%(72/76), 85.71(28/24) were partially pass-able, 100%(20/20) were hydrosalpinx, 100(24/24) were obstructed. The overall coincidence rate was 94.44%. Two methods were similar in dudging the patency of fallopian tubes (P>0.05) without untoward effect. Conclusions TVS 4D-HyCoSy ia able to show the mor-phological strcture of uterine tube. This technique might become a safe and effective method to diagnose teh patency of fallopin tubes.