摘要
目的评价经阴道超声输卵管显影术对输卵管病变的诊断价值。方法对59例原发或继发性不孕症患者的118根输卵管行经阴道超声输卵管显影检查与腹腔镜检查,并以美兰作为输卵管通液检查,比较输卵管显影的可靠性。结果超声显影术对输卵管通畅性诊断符合率83.05%,灵敏度86.3%,特异度77.78%,约登指数0.64。对输卵管伞端形态异常的诊断符合率83.89%,灵敏度88%,特异度76.74%,约登指数64.74。对盆腔粘连的诊断符合率88.14%,灵敏度92.5%,特异度78.95%,约登指数71.45。超声输卵管显影对输卵管病变的诊断与腹腔镜检查差异无统计学意义。结论经阴道超声输卵管显影术是一种可靠实用的检查方法,可作为不孕症初步诊断的首选方法。
Objective To evaluate the diagnostic value of transvaginal sonosalpingography（TSSG） for fallopian tube lesions.Methods TSSG and laparoscopy were performed for 59 patients（118 fallopian tubes） with primary or secondary sterility using methylene blue as a contrast to compare their reliability for the patency of fallopian tube.Results The diagnostic rate of TSSG for the fallopian tube patency was 83.05%,with a sensitivity of 86.3%,a specificity of 77.78% and a Youden index of 0.64.The diagnostic rate of TSSG for the abnormal morphology of fallopian tube fimbrial end was 83.89%,with a sensitivity of 88%,a specificity of 76.74%,and a Youden index of 64.74.The diagnostic rate of TSSG for the pelvic adhesion was 88.14%,with a sensitivity of 92.5%,a specificity of 78.95% and a Youden index of 71.45.No statistical difference was observed in the diagnostic rate of TSSG and laparoscopy for fallopian tube lesions.Conclusion TSSG is a reliable procedure for detecting fallopian tube lesions and the first choice of methods in diagnosis of primary sterility.
出处
《军医进修学院学报》
CAS
2011年第5期448-450,共3页
Academic Journal of Pla Postgraduate Medical School
