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目的探讨经阴道四维超声造影(4D-HyCoSy)在输卵管通畅性评价中的应用价值。方法 28例不孕患者,均采用SonoVue造影剂行经阴道四维超声输卵管造影与X线碘油输卵管造影(HSG)检查,观察患者输卵管通畅性。结果 28例患者52条输卵管四维超声造影显示输卵管通畅41条,其中通而不畅16条;阻塞11条。X线碘油造影检查结果显示:输卵管通畅40条,其中通而不畅12条;阻塞12条。Kappa分析显示κ值为0.832,表明这两种检查方法具有很高的一致性。结论经阴道子宫输卵管四维超声造影可动态显示子宫、输卵管形态,诊断宫腔粘连及宫腔占位性病变,评价输卵管的通畅情况具有一定优势。
Objective To investigate the value of transvaginal four-dimensional contrast echocardiography (4D-HyCoSy) in the evaluation of tubal patency. Methods 28 cases of infertility patients were treated with SonoVue contrast agent by transvaginal four-dimensional sonographic oximetry and X-ray iodine tubal angiography (HSG) examination to observe the tubal patency. Results 28 cases of 52 tubal four-dimensional contrast-enhanced tubal patency showed 41, of which pass and poor 16; obstruction 11. X-ray iodine oil contrast test results showed that: tubal patency 40, which pass and poor 12; obstruction 12. Kappa analysis showed a κ value of 0.832, indicating a high degree of agreement between the two tests. Conclusion Transvaginal uterine tubal four-dimensional contrast-enhanced ultrasound can dynamically display the morphology of the uterus and fallopian tubes, diagnose intrauterine adhesions and intrauterine lesions, and evaluate tubal patency has some advantages.