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目的:评估声诺维四维阴式B超行子宫输卵管造影术(4D-HyCoSy)在诊断输卵管通畅度方面的价值及可行性。方法:采用SonoVue对40例不孕症患者,经阴道行四维超声子宫输卵管造影检查,并与宫腹腔镜联合手术探查推注美兰液检测输卵管通畅度的结果进行对比,以腹腔镜检查结果作为判断输卵管通畅度的金标准,对两组数据进行统计分析。结果:40例不孕症患者,共80条输卵管的结果分析显示:输卵管通畅59条,不通畅21条。对于输卵管有问题的15例不孕症患者进行宫腹腔镜联合探查并进行输卵管插管推注美兰液体,并与四维超声造影结果进行对照,超声造影诊断的符合率是93%(28/30)。结论:声诺维四维阴式B超行子宫输卵管造影术(4D-HyCoSy)具有操作简单、实用、无创、无辐射损伤、可重复操作,诊断准确性高,短期内可备孕的优点,并且能准确评估输卵管的通畅度、确定梗阻部位,和作为金标准的宫腹腔镜联合手术下推注美兰液体检查输卵管的方法之间无统计学差异。
OBJECTIVE: To assess the value and feasibility of SonoVir IVV-HGH (4D-HyCoSy) in the diagnosis of tubal patency. Methods: SonoVue 40 cases of infertility patients, transvaginal line four-dimensional ultrasound examination of uterine tubal and uterine laparoscopy combined with surgical exploration of syphilis to monitor tubal patency results were compared to the results of laparoscopy as a To determine the gold standard tubal patency, two sets of data for statistical analysis. Results: 40 cases of infertility patients, a total of 80 tubal results showed: tubal patency 59, not smooth 21. For 15 infertility patients with tubal problems, we performed laparoscopic combined exploration and tubal intubation to push Meilan liquid, and compared with four-dimensional contrast-enhanced ultrasound, the coincidence rate of contrast-enhanced ultrasound was 93% (28/30 ). CONCLUSIONS: SonoVir IV-dimensional vaginal ultrasound B-hysterosalpingography (4D-HyCoSy) has the advantages of simple, practical, noninvasive, no radiation injury, repeatable operation, high diagnostic accuracy, short-term preparation for pregnancy, and can Accurate assessment of tubal patency, to determine the site of obstruction, and the gold standard laparoscopic hysteroscopy combined surgery under the method of betulalan liquid tubal examination was no significant difference.