经阴道子宫输卵管四维超声造影评价输卵管通畅性的研究重点分析.doc

经阴道子宫输卵管四维超声造影评价输卵管通畅性的研究 韩巧芳1，谢玉环1*，罗海波1，袁领欢1，梁见娣2，刘丰尧3，李丽娟1 （1.东莞市人民医院超声科；2.东莞市人民医院生殖医学中心；3.东莞三局医院超声科，广东东莞，523059） 【摘要】目的 探讨经阴道子宫输卵管四维超声造影（4D-HyCoSy）在输卵管通畅性评价中的临床应用价值。方法 对160例不孕不育妇女进行4D-HyCoSy检查，分析所获得图像，评估其输卵管通畅性，其中49例进行子宫输卵管碘油造影（HSG），72例进行腹腔镜检查。结果 160例患者316条输卵管(其中一例为单角子宫，3例曾行单侧输卵管切除术)4D-HyCoSy显示输卵管通畅209条，输卵管通而不畅43条，输卵管不通64条。其中49例同时进行HSG检查，总体符合率约97.9%（96/98)，72例同时进行腹腔镜检查，总体符合率约91.4%（128/140）。结论 4D-HyCoSy能动态立体显示输卵管形态，准确评价输卵管通畅性，可作为不孕不育患者输卵管检查的首选检查方法。 【关键词】经阴道四维超声；子宫输卵管超声造影；不孕不育症 The research of evaluating the patency of fallopian tubes by transvaginal four-dimensional hysterosalpingo-contrast sonography HAN Qiaofang1，XIE Yuhuan1*，LUO Haibo1，YUAN Linghuan1，LIANG Jiandi2，LIU Fengyao3，LI Lijuan1 1.Department of Ultrasonography,Dongguan peoples hospital;2.Center for Reproductive Medicine, Dongguan peoples hospital;3.Department of Ultrasonography,Dongguan three innings hospital,Guangdong Dongguan 523059,China 【Abstract】 Objective：To explore the clinical application value of fallopian tubes patency assessment by using transvaginal four-dimensional hysterosalpingo-contrast sonography(4D- HyCoSy) . Methods: Check the cases of infertility women by 4D - HyCoSy, evaluate the fallopian tube patency by analyze the image. 49 cases were detected by X-ray hysterosalpingography ( X-ray HSG) and 72 cases accepted the examination of laparoscopy. Results: 209 fallopian tubes were showed unobstructed by 4D- HyCoSy in 316 fallopian tubes of 160 cases(one for the unicornuate uterus,3 cases underwented unilateral salpingectomy) ,43 incomplete blocked,and 64 blocked. 49 cases compared with HSG at the same time，it’s total coincidence rate about 97.9% (96/98),72 cases compared with laparoscopic at the same time，it’s total coincidence rate about 91.4% (128/140). Conclusions: 4D- HyCoSy can dynamic and three-dimensional display the shape of fallopian tubes,accurate evaluate the liquidity of fallopian tubes,and be used as the first choice for check fallopian tubes o