经阴道三维子宫输卵管超声造影在输卵管妊娠保守治疗后评价输卵管通畅性的效果观察
|
摘要
目的:探究经阴道三维子宫输卵管超声造影在输卵管妊娠保守治疗后评价输卵管通畅性的应用效果。方法:将2016年8月-2018年5月在笔者所在医院接受输卵管妊娠保守治疗患者60例作为研究对象,在保守治疗3个月的基础上,对其分别进行宫腹腔镜下输卵管通液术检查、三维子宫输卵管超声造影检查以诊断输卵管畅通性,分析两种检查方法的结果,以宫腹腔镜下输卵管通液术检查结果作为金标准进行比较。结果:宫腹腔镜下输卵管通液术检查、三维子宫输卵管超声造影检查诊断结果具有一致性(K=0.796,P<0.05),且三维子宫输卵管超声造影检查诊断阴性率为92.30%,灵敏度为90.00%,特异性为94.11%,阳性率为90.00%,诊断总符合率为86.81%。结论:采用经阴道三维子宫输卵管超声造影在输卵管妊娠保守治疗后评价输卵管畅通性,可提供准确高效的诊断结果。
Objective:To explore the effect of transvaginal three-dimensional hysterosalpingography in evaluating tubal patency after conservative treatment of tubal pregnancy.Method:60 patients with tubal pregnancy received conservative treatment in our hospital from August 2016 to May 2018 were selected as research objects.On the basis of conservative treatment for 3 months,hydrotubation under hysteroscope and three-dimensional hysterosalpingography were performed to diagnose tubal patency.The results of the two methods were recorded and analyzed.The results of hydrotubation under hysteroscope were compared as gold standard.Result:The hydrotubation under hysteroscope and three-dimensional hysterosalpingography were consistent(K=0.796,P<0.05).The negative rate,sensitivity,specificity and positive rate of three-dimensional hysterosalpingography were 92.30%,90.00%,94.11%,90.00%respectively,and the total diagnostic coincidence rate was 86.81%.Conclusion:Transvaginal three-dimensional hysterosalpingography can provide accurate and efficient diagnostic results in evaluating tubal patency after conservative treatment of tubal pregnancy.
Objective:To explore the effect of transvaginal three-dimensional hysterosalpingography in evaluating tubal patency after conservative treatment of tubal pregnancy.Method:60 patients with tubal pregnancy received conservative treatment in our hospital from August 2016 to May 2018 were selected as research objects.On the basis of conservative treatment for 3 months,hydrotubation under hysteroscope and three-dimensional hysterosalpingography were performed to diagnose tubal patency.The results of the two methods were recorded and analyzed.The results of hydrotubation under hysteroscope were compared as gold standard.Result:The hydrotubation under hysteroscope and three-dimensional hysterosalpingography were consistent(K=0.796,P<0.05).The negative rate,sensitivity,specificity and positive rate of three-dimensional hysterosalpingography were 92.30%,90.00%,94.11%,90.00%respectively,and the total diagnostic coincidence rate was 86.81%.Conclusion:Transvaginal three-dimensional hysterosalpingography can provide accurate and efficient diagnostic results in evaluating tubal patency after conservative treatment of tubal pregnancy.
引文
[1]陈莉娜,黄淑清,叶瑞娇,等.经阴道四维子宫输卵管超声造影在输卵管源性不孕症中诊断分析[J].黑龙江医药,2018,31(6):1342-1344.
[2]石秀玲,张巍,王丹,等.经阴道实时三维子宫输卵管超声造影在不孕症患者输卵管通畅性评价中的应用价值[J].中国计划生育和妇产科,2018,10(11):88-91.
[3]王兵,丛日敏.经阴道三维超声输卵管造影在不孕症诊断中的临床价值[J].影像研究与医学应用,2018,2(21):138-140.
[4]冯玉珂.研究经阴道三维超声输卵管造影在不孕症诊断中的临床价值[J].罕少疾病杂志,2018,25(5):48-49,70.
[5]刘晓峰.子宫输卵管超声造影在不孕症患者诊断中的应用价值[J].影像研究与医学应用,2018,2(19):36-37.
[6]何晶,刘扬.经阴道子宫输卵管超声造影联合负性造影剂宫腔造影对不孕症患者宫腔病变的诊断价值研究[J].中国社区医师,2018,34(23):105-106.
[7]林爱芹.经阴道3/4 D子宫输卵管超声造影诊治不孕症[J].牡丹江医学院学报,2018,39(4):85-87.
[8]寇燕妮,马晓梅,冯春香.二维与三维超声造影在不孕症患者输卵管通畅性中的诊断价值研究[J].中国实用医药,2018,13(22):68-69.
[9]李梁瑜,林艳,杨柳,等.经阴道四维子宫输卵管超声造影对输卵管通畅性评估价值分析[J].中医临床研究,2018,10(21):144-146.
[10]陶承颜,王霞,赵渝军.经阴道实时三维子宫输卵管超声造影评价输卵管通畅性的研究[J].中外医疗,2018,37(21):187-189,192.
[11]陈蕾,高建松,赵丽燕.经阴道三维子宫输卵管超声造影在诊断输卵管阻塞中的价值[J].浙江中西医结合杂志,2018,28(7):573-575.
[12]李桂红,张弘,罗柳萍,等.经阴道四维子宫输卵管超声造影在不孕症诊断中的应用价值[J].中国当代医药,2018,25(19):104-106.
[13]卞敏,汪佳,李琴,等.比较经阴道超声引导下二维和三维子宫输卵管超声造影在输卵管通畅性中的诊断价值[J].现代医用影像学,2018,27(3):877-879.
[14]阚晓纯,白伟伟,张卫红,等.子宫输卵管实时三维超声造影与腹腔镜通染液检查评价输卵管通畅性的对比研究[J].现代医学,2018,46(5):541-545.
[15]岳馨,杨通琴,方彦鹏.X线碘油和经阴道实时三维子宫输卵管超声造影诊断女性不孕输卵管阻塞的临床对比[J].影像研究与医学应用,2018,2(5):78-79.
[2]石秀玲,张巍,王丹,等.经阴道实时三维子宫输卵管超声造影在不孕症患者输卵管通畅性评价中的应用价值[J].中国计划生育和妇产科,2018,10(11):88-91.
[3]王兵,丛日敏.经阴道三维超声输卵管造影在不孕症诊断中的临床价值[J].影像研究与医学应用,2018,2(21):138-140.
[4]冯玉珂.研究经阴道三维超声输卵管造影在不孕症诊断中的临床价值[J].罕少疾病杂志,2018,25(5):48-49,70.
[5]刘晓峰.子宫输卵管超声造影在不孕症患者诊断中的应用价值[J].影像研究与医学应用,2018,2(19):36-37.
[6]何晶,刘扬.经阴道子宫输卵管超声造影联合负性造影剂宫腔造影对不孕症患者宫腔病变的诊断价值研究[J].中国社区医师,2018,34(23):105-106.
[7]林爱芹.经阴道3/4 D子宫输卵管超声造影诊治不孕症[J].牡丹江医学院学报,2018,39(4):85-87.
[8]寇燕妮,马晓梅,冯春香.二维与三维超声造影在不孕症患者输卵管通畅性中的诊断价值研究[J].中国实用医药,2018,13(22):68-69.
[9]李梁瑜,林艳,杨柳,等.经阴道四维子宫输卵管超声造影对输卵管通畅性评估价值分析[J].中医临床研究,2018,10(21):144-146.
[10]陶承颜,王霞,赵渝军.经阴道实时三维子宫输卵管超声造影评价输卵管通畅性的研究[J].中外医疗,2018,37(21):187-189,192.
[11]陈蕾,高建松,赵丽燕.经阴道三维子宫输卵管超声造影在诊断输卵管阻塞中的价值[J].浙江中西医结合杂志,2018,28(7):573-575.
[12]李桂红,张弘,罗柳萍,等.经阴道四维子宫输卵管超声造影在不孕症诊断中的应用价值[J].中国当代医药,2018,25(19):104-106.
[13]卞敏,汪佳,李琴,等.比较经阴道超声引导下二维和三维子宫输卵管超声造影在输卵管通畅性中的诊断价值[J].现代医用影像学,2018,27(3):877-879.
[14]阚晓纯,白伟伟,张卫红,等.子宫输卵管实时三维超声造影与腹腔镜通染液检查评价输卵管通畅性的对比研究[J].现代医学,2018,46(5):541-545.
[15]岳馨,杨通琴,方彦鹏.X线碘油和经阴道实时三维子宫输卵管超声造影诊断女性不孕输卵管阻塞的临床对比[J].影像研究与医学应用,2018,2(5):78-79.