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目的:探讨超声造影剂Sonovue评估输卵管通畅性的效果。方法:选取深圳市龙岗区第六人民医院2014年4月至2015年10月收治的56例输卵管性不孕女性患者为观察对象,应用Sono Vue造影剂经阴道子宫输卵管造影,并与腹腔镜手术及X线碘油造影结果比较,评价此方法判断输卵管通畅性的效果。结果:56例中有4例行腹腔镜诊断输卵管通畅性与超声造影相同;52例超声造影结果为输卵管通畅26条及通而不畅58条、阻塞20条;而相应的X线碘油造影检查结果为输卵管通畅23条、通而不畅59条、阻塞22条。SPSS 17.0统计分析得出超声造影剂检查与其他方法检查的一致性系数为Kappa=0.8745。结论:超声造影剂Sono Vue造影安全可靠,对患者无损伤、无不良反应,对于评价输卵管通畅性准确性高,简单有效,对临床诊断具有参考价值。
Objective: To investigate the effect of ultrasonic contrast agent Sonovue in evaluating tubal patency. Methods: Sixty-six patients with tubal infertility were selected from the Sixth People’s Hospital of Longgang District of Shenzhen City from April 2014 to October 2015. The patients underwent oviduct tubal sonography with Sono Vue contrast agent and compared with laparoscopic operation And X-ray iodine contrast imaging results to evaluate this method to determine the effect of tubal patency. Results: Laparoscopic diagnosis of tubal patency in 4 of 56 cases was the same as that of contrast-enhanced ultrasound. The results of contrast-enhanced angiography in 26 cases of tubal patency were as follows: 26 and obstructive 58, blocking 20; while the corresponding X-ray lipiodol Check the results for the fallopian tube patency 23, 59 and obstruction, obstruction 22. SPSS 17.0 statistical analysis of ultrasound contrast agent examination and other methods to check the consistency coefficient Kappa = 0.8745. Conclusion: Ultrasound contrast Sono Vue contrast is safe, reliable, noninvasive and has no adverse reactions to patients. It is of high accuracy, simple and effective for evaluating tubal patency and has reference value for clinical diagnosis.