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目的分析实时四维子宫输卵管超声造影技术(4D-HyCoSy)在输卵管通畅性检查及评估中的应用效果。方法回顾性分析200例不孕症患者的临床资料,均采取4D-HyCoSy检查,以腹腔镜检查结果为标准,分析4D-HyCoSy诊断输卵管通畅的敏感性、特异性、阳性预测值、阴性预测值及对阻塞部位的准确率。结果本组200例不孕症患者在4D-HyCoSy检查过程中,均一次插管成功,获得满意的图像,共检查400条输卵管,以腹腔镜检查结果为标准,4D-HyCoSy诊断出阻塞230条(230/400),诊断通畅符合150条(150/170);4D-HyCoSy诊断输卵管通畅的敏感性为93.75%,特异性为91.67%,阳性预测值为88.24%,阴性预测值为95.65%。以腹腔镜检查结果为标准,4D-HyCoSy诊断输卵管阻塞部位的准确率为67.39%。结论 4D-HyCoSy在输卵管通畅性检查及评估中的应用效果显著,可准确判断输卵管的通畅性,对于检出阻塞部位亦具有积极作用。
Objective To analyze the real-time four-dimensional hysterosalpingography (4D-HyCoSy) in tubal patency examination and evaluation results. Methods The clinical data of 200 infertile patients were retrospectively analyzed. All patients were examined with 4D-HyCoSy. The sensitivity, specificity, positive predictive value and negative predictive value of 4D-HyCoSy in diagnosing tubal patency were analyzed by laparoscopy. And the accuracy of the obstruction site. Results 200 infertility patients in this group during the 4D-HyCoSy examination, a successful intubation, access to satisfactory images, a total of 400 tubal examination, laparoscopic results as a standard, 4D-HyCoSy diagnosed 230 blocked (230/400). The sensitivity of 4D-HyCoSy in diagnosis of tubal patency was 93.75%, specificity was 91.67%, positive predictive value was 88.24%, and negative predictive value was 95.65%. Laparoscopy results as a standard, 4D-HyCoSy diagnosis of tubal occlusion site accuracy was 67.39%. Conclusions 4D-HyCoSy is effective in the examination and evaluation of tubal patency, which can accurately determine the patency of tubal and has a positive effect on the detection of obstructive site.