陶承颜　王霞　赵渝军

[摘要] 目的 探讨研究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应用价值并作出分析。 方法 方便选取2017年3月—2018年5月期间收治的不孕症患者中自愿性参与该次研究工作的100例患者（200条输卵管）作为参与对象。100例患者均接受阴道实时三维子宫输卵管超声造影检查以及腹腔镜下输卵管通液术检查。以腹腔镜下通液术检查结果作为参照，经阴道实时三维子宫输卵管超声造影检查与其进行比较及分析。 结果 经阴道实时三维子宫输卵管超声造影检查结果可知，检查通畅敏感性为94.74%、通畅特异性为87.72%、阳性预测值为94.74%、阴性预测值为87.72%、准确率为91.50%。图像质量良率22.00%；均无明显不适感及明显不良反应。 结论 给予不孕症患者实施经阴道实时三维子宫输卵管超声造影检查可以明确其输卵管通畅性，具有重要应用价值。

[关键词] 子宫；输卵管；女性不孕症；实时三维超声造影

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）07（c）-0187-04

Transvaginal Real-time Three-dimensional Hysterosalpingography for Evaluation of Tubal Patency

TAO Cheng-yan， WANG Xia， ZHAO Yu-jun

Ultrasound，the Chinese Medicine Hospital of Hanjiang District， Chongqing City， Chongqing，409000 China

[Abstract] Objective To investigate the value of transvaginal real-time three-dimensional hysterosalpingography in evaluation of tubal patency and to analyze it. Methods 100 patients （200 tubes） who participated in this study voluntarily from infertile patients admitted between March 2017 and May 2018 were selected conveniently as subjects. All 100 patients underwent vaginal real-time three-dimensional hysterosalpingography and laparoscopic tubal drainage. The results of laparoscopic fluid examination were used as reference to compare and analyze transvaginal real-time three-dimensional hysterosalpingography. Results Transvaginal real-time three-dimensional hysterosalpingography showed that the sensitivity of patency was 94.74%， the patency specificity was 87.72%， the positive predictive value was 94.74%， the negative predictive value was 87.72%， and the accuracy rate was 91.50%. The image quality yield was 22.00%； there was no obvious discomfort and obvious side effects. Conclusion Transvaginal real-time three-dimensional hysterosalpingography can be used to determine the patency of tubal in infertility patients. It has important application value.

[Key words] Uterus； Fallopian tube； Female infertility； Real-time three-dimensional contrast-enhanced ultrasound

不孕癥是妇科常见疾病，对女性患者的生理及心理均造成严重影响。以往使用子宫输卵管碘油造影作为临床不孕症金标准诊断技术，但该技术具有辐射性风险、碘过敏风险等，因此在临床应用中受限。宫腔镜-腹腔镜下输卵管通液术检查是一种有创检查技术，因此也不适合应用于临床常规检查当中。采取何种检查诊断方法评价输卵管状态可以安全性高、准确性高且操作简便十分重要[1]。该研究方便选取2017年3月—2018年5月期间收治的不孕症患者100例为研究对象，旨在探讨研究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应用价值并作出分析。……