输卵管插管法动态三维超声造影评价输卵管伞部功能
摘要
目的探讨输卵管插管法动态三维超声造影评价输卵管伞部功能的临床应用效果及价值。方法选取2017年1—12月收治的100例不孕症患者为研究对象。采用随机数字表法将其分为观察组与常规组,每组各50例。两组患者均接受动态三维超声造影检查,常规组采用常规造影法,观察组采用输卵管插管法。比较两组帧频、输卵管伞部形态可识别率、造影剂逆流情况及患者耐受度。结果因生理结构异常、手术等原因,观察组50例患者共检查输卵管92条,常规组共检查输卵管95条。观察组图像帧频、患者耐受度及输卵管伞部可识别率均高于常规组,造影剂逆流率低于常规组,组间比较,差异有统计学意义(P <0. 05)。结论输卵管插管法动态三维超声造影能够为输卵管伞部功能评价提供良好参考,可缩短不孕症治疗的时间,减少经济成本。
引文
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[11]Wang W,Zhou Q,Gong Y,et al. Assessment of fallopian tube fimbria patency with 4-dimensional hysterosalpingo-contrast sonography in infertile women[J]. J Ultrasound Med,2017,36(10):2061-2069.
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[2]Hong Q,Cai R,Chen Q,et al. Three-Dimensional Hy CoSy with perfluoropropane-albumin microspheres as contrast agents and normal saline injections into the pelvic cavity for morphological assessment of the fallopian tube in infertile women[J]. J Ultrasound Med,2017,36(4):741-748.
[3]敖颖,何秀军,罗丽巧,等.声诺维经阴道实时三维超声造影(TVS RT-3D-HyCoSy)评价输卵管通畅性的应用价值研究[J].现代医用影像学,2016,25(3):405-408.
[4]陈粉红,陈伟,魏芳,等.联合应用经阴道四维和二维超声造影术诊断输卵管性不孕的价值[J].中华超声影像学杂志,2015,24(10):869-873.
[5]陈小芬,陈洪彬,李蕊,等.三维子宫输卵管超声造影在诊断输卵管通畅性中的应用[J].四川医学,2015,36(12):1750-1752.
[6]涂美琳,李敏,姚洁,等.实时三维宫腔输卵管超声造影结合宫腔压力监测评价输卵管通畅度价值探讨[J].浙江医学,2015,37(21):1757-1760.
[7]涂美琳,彭成忠,姚洁,等.三维超声造影联合压力监测法评估不孕症患者输卵管功能[J].中华医学超声杂志(电子版),2016,13(7):528-530.
[8]林晴,郭鹊晖,许荣,等.经阴道二维与三维子宫输卵管超声造影对输卵管通畅性的对比研究[J].福建医药杂志,2015,37(3):99-102.
[9]Kong D,Dong X,Wang Z,et al. Four-dimensional hysterosalpingocontrast sonography with auxiliary hydrogen peroxide examination for the diagnosis of fallopian tube patency following interventional treatment of ovarian ectopic cysts[J]. Arch Gynecol Obstet,2017,295(2):519-526.
[10]张弘,方建华,李桂红,等. 4D-HyCoSy在输卵管通畅性检查及评估中的应用观察[J].中国实用医药,2017,12(22):34-35.
[11]Wang W,Zhou Q,Gong Y,et al. Assessment of fallopian tube fimbria patency with 4-dimensional hysterosalpingo-contrast sonography in infertile women[J]. J Ultrasound Med,2017,36(10):2061-2069.
[12]Li H,Zhang M,Qiang Y,et al. Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency[J]. Comput Assist Surg(Abingdon),2017,22(sup1):93-99.