[1]肖晓青,邱思花,谢芳,等.多模态子宫输卵管超声造影评估输卵管堵塞性病变的诊断价值[J].中国医学物理学杂志,2023,40(10):1246-1250.[doi:DOI:10.3969/j.issn.1005-202X.2023.10.010]
　XIAO Xiaoqing,QIU Sihua,XIE Fang,et al.Diagnostic value of multimodal hysterosalpingo-contrast sonography for obstructive lesions of fallopian tubes[J].Chinese Journal of Medical Physics,2023,40(10):1246-1250.[doi:DOI:10.3969/j.issn.1005-202X.2023.10.010]
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多模态子宫输卵管超声造影评估输卵管堵塞性病变的诊断价值()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
40卷
期数:
2023年第10期
页码:
1246-1250
栏目:
医学影像物理
出版日期:
2023-10-27

文章信息/Info

Title:
Diagnostic value of multimodal hysterosalpingo-contrast sonography for obstructive lesions of fallopian tubes
文章编号:
1005-202X（2023）10-1246-05
作者:
肖晓青1; 邱思花1; 谢芳2; 王金永3; 董小丽2; 陈淑金1; 侯淑红1
1.龙岩市第一医院（福建医科大学附属龙岩第一医院）超声科， 福建 龙岩364000； 2.龙岩市第一医院（福建医科大学附属龙岩第一医院）生殖医学科， 福建 龙岩 364000； 3.龙岩市第一医院（福建医科大学附属龙岩第一医院）妇科， 福建 龙岩 364000
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
关键词:
输卵管堵塞性病变; 多模态; 子宫输卵管超声造影; 输卵管通染液检查
Keywords:
Keywords: obstructive lesion of fallopian tube multimodality hysterosalpingo-contrast sonography laparoscopic examination for tubal patency evaluation
分类号:
R445.1
DOI:
DOI:10.3969/j.issn.1005-202X.2023.10.010
文献标志码:
A
摘要:
【摘要】目的：分析多模态子宫输卵管超声造影（HyCoSy）对输卵管堵塞性病变的诊断价值。方法：选择在龙岩市第一医院超声科完成子宫输卵管造影的948例患者，其中符合纳排标准的不孕患者84例，行2D/3D/4D-HyCoSy及宫腔镜下输卵管通染液检查（LDT）。记录84例患者宫腔镜与LDT分析结果，以LDT诊断结果为金标准，分析3D/4D-HyCoSy的多模态HyCoSy检查的灵敏度、特异度、准确率。结果：84例患者中慢性盆腔炎最多，占比为33.33%，内膜炎伴赘生物占比为19.05%，多囊卵巢占比为14.29%，子宫内膜异位症占比为13.09%，输卵管炎占比为11.91%，其他占比为8.33%。84例患者共168条输卵管中通畅110条，堵塞58条，其中58条输卵管堵塞中以单侧堵塞（89.66%）与远端堵塞（67.25%）为主。以LDT诊断结果为金标准，多模态HyCoSy诊断输卵管堵塞性病变的临床灵敏度、特异度及准确率分别为98.27%、94.55%、95.24%，分别高于3D-HyCoSy（86.20%、80.00%、82.14%）与4D-HyCoSy（91.37%、85.45%、87.50%）（P<0.05），与LDT诊断结果一致性良好（Kappa=0.912）；而3D-HyCoSy与4D-HyCoSy检查的临床灵敏度、特异度及准确率比较无统计学差异（P>0.05），3D-HyCoSy、4D-HyCoSy检查与LDT的诊断结果一致性尚可（Kappa=0.698、0.816）。结论：多模态HyCoSy诊断输卵管堵塞性病变具有较高临床灵敏度、特异度及准确率，分别高于3D-HyCoSy与4D-HyCoSy，与LDT诊断结果一致性良好。
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.

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备注/Memo

备注/Memo:
【收稿日期】2023-04-21 【基金项目】龙岩市科技创新联合资金卫生面上项目（2021LYF17026） 【作者简介】肖晓青，副主任医师，研究方向：妇产超声医学，E-mail: ydetjuo@163.com 【通信作者】侯淑红，硕士，副主任医师，研究方向：妇产超声医学，E-mail: Fjhoush@163.com
更新日期/Last Update: 2023-10-27