经阴道二维及四维子宫输卵管超声造影评价输卵管通畅性的对比研究

来源 :中华医学会第十五次全国超声医学学术会议 | 被引量 : 0次 | 上传用户:fenglin1985z
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目的:比较经阴道二维子宫输卵管超声造影(TVS 2D-HyCoSy)和四维子宫输卵管超声造影(TVS 4D-HyCoSy)评价输卵管通畅性的有效性及其临床应用价值.方法:对125例女性不孕患者,采用SonoVue造影剂,分别进行TVS 2D-HyCoSy和TVS 4D-HyCoSy检查,其中35例结果与腹腔镜输卵管通染液试验(CLP)进行对照.对比2D-HyCoSy和4D-HyCoSy检测输卵管通畅性的敏感性、特异性、阴性预测值及阳性预测值.结果:2D-HyCoSy评估输卵管阻塞的敏感度为84.00% (21/25),特异度84.44% (38/45),阳性预测值75.00% (21/28),阴性预测值90.48% (38/42);4D-HyCoSy评估输卵管阻塞的敏感度为92.00% (23/25),特异度93.33% (42/45),阳性预测值88.46% (23/26),阴性预测值95.45% (42/44).
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