Diagnostic value of multimodal hysterosalpingo-contrast sonography for obstructive lesions of fallopian tubes(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2023年第10期
- Page:
- 1246-1250
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Diagnostic value of multimodal hysterosalpingo-contrast sonography for obstructive lesions of fallopian tubes
- Author(s):
- XIAO Xiaoqing1; QIU Sihua1; XIE Fang2; WANG Jinyong3; DONG Xiaoli2; CHEN Shujin1; HOU Shuhong1
- 1. Department of Ultrasound, Longyan First Hospital of Fujian Medical University, Longyan 364000, China 2. Department of Reproductive Medicine, Longyan First Hospital of Fujian Medical University, Longyan 364000, China 3. Department of Gynecology, Longyan First Hospital of Fujian Medical University, Longyan 364000, China
- Keywords:
- Keywords: obstructive lesion of fallopian tube multimodality hysterosalpingo-contrast sonography laparoscopic examination for tubal patency evaluation
- PACS:
- R445.1
- DOI:
- DOI:10.3969/j.issn.1005-202X.2023.10.010
- Abstract:
- Abstract: Objective To analyze the value of multimodal hysterosalpingo-contrast sonography (HyCoSy) in diagnosing the obstructive lesions of fallopian tubes. Methods Among the 948 patients who had received HyCoSy in the Department of Ultrasound of Longyan First Hospital, 84 infertility patients were selected according to inclusion and excluding criteria. All of the 84 patients underwent 2D/3D/4D-HyCoSy and laparoscopic examination (LDT) for tubal patency evaluation. The diagnostic sensitivity, specificity and accuracy of 3D/4D-HyCoSy and multimodal HyCoSy were analyzed using the LDT results as the golden standard. Results Chronic pelvic inflammatory disease was the most frequent in 84 patients, accounting for 33.33%, followed by endometritis with redundancy (19.05%), polycystic ovary (14.29%), endometriosis (13.09%), salpingitis (11.91%), and others (8.33%). Out of a total of 168 fallopian tubes in 84 patients, 110 were patent and 58 were blocked. Among the 58 blocked tubes, unilateral blockage (89.66%) and distal blockage (67.25%) were predominant. The sensitivity, specificity and accuracy of multimodal HyCoSy for diagnosing the obstructive lesions of fallopian tubes were 98.27%, 94.55% and 95.24%, respectively, which were higher than those of 3D-HyCoSy (86.20%, 80.00% and 82.14%) and 4D-HyCoSy (91.37%, 85.45% and 87.50%) (P<0.05), with good agreement with the LDT results (Kappa=0.912). The differences between 3D-HyCoSy and 4D-HyCoSy in the sensitivity, specificity and accuracy were trivial (P>0.05), and the diagnostic results of 3D-HyCoSy or 3D-HyCoSy were also in agreement with LDT results (Kappa=0.698, 0.816). Conclusion Multimodal HyCoSy has higher sensitivity, specificity and accuracy for diagnosing the obstructive lesions of fallopian tubes as compared with 3D-HyCoSy and 4D-HyCoSy, and is in good agreement with LDT results.
Last Update: 2023-10-27