摘要
目的探讨阴道彩超联合实时三维子宫输卵管超声造影(RT-3D-HyCoSy)诊断输卵管积水的临床应用价值。方法选取2015年11月~2018年10月在广西壮族自治区柳州市妇幼保健院就诊的经阴道彩超诊断为输卵管积水的60例不孕症妇女,先后经阴道彩超、RT-3D-HyCoSy及阴道彩超联合RT-3D-HyCoSy检查,将3种方法的检查结果进行对比分析。以腹腔镜手术结果为"金标准",对比3种方法诊断输卵管积水的灵敏度、特异度、阳性预测值及阴性预测值。结果阴道彩超联合RT-3D-HyCoSy诊断输卵管积水的灵敏度、特异度、阳性预测值和阴性预测值均高于单独使用阴道彩超,灵敏度和阴性预测值高于RT-3D-HyCoSy,ROC曲线下的面积为0.995。Kappa检验结果显示,阴道彩超联合RT-3D-HyCoSy诊断的一致性符合率最高。结论 RT-3D-HyCoSy可动态观察输卵管的走形、积水情况及与周围组织的关系,阴道彩超联合RT-3D-HyCoSy可进一步提高输卵管积水诊断的灵敏度、准确率,可为临床选择和制订合理的治疗方案提供有价值的依据。
Objective To explore the clinical application value of svaginal color Doppler ultrasound combined with real-time three-dimensional hysterosalpingography(RT-3 D-HyCoSy) in the diagnosis of hydrosalpinx. Methods From November 2015 to October 2018, 60 cases of infertile women with hydrosalpinx diagnosed by vaginal color Doppler ultrasound in Guangxi Zhuang Autonomous Region Liuzhou Maternal and Child Health Care Hospital were selected.Vaginal color Doppler ultrasound, RT-3 D-HyCoSy, vaginal color Doppler ultrasound combined with RT-3 D-HyCoSy methods were performed, and the results of the three methods were compared and analyzed. Laparoscopic surgery was served as golden standard. The sensitivity, specificity, positive predictive value and negative predictive value of the three methods were compared. Results The sensitivity, specificity, positive predictive value and negative predictive value of vaginal color Doppler ultrasound combined with RT-3 D-HyCoSy were higher than those of vaginal color Doppler ultrasound, and sensitivity and negative predictive value were higher than those of RT-3 D-HyCoSy. The area under the ROC curve was 0.995. Kappa test results showed that the consistency and coincidence rate of vaginal color Doppler ultrasound combined with RT-3 D-HyCoSy was the highest. Conclusion RT-3 D-HyCoSy can dynamically observe the shape of fallopian tube, hydrosalpinx and its relationship with surrounding tissues. The sensitivity and accuracy of the diagnosis of hydrosalpinx can be improved when vaginal color Doppler ultrasound combined with RT-3 D-HyCoSy. It can provide valuable basis for clinical selection and formulation of reasonable treatment program.
作者
陈彩
张琴
孙宇曦
王文娟
卢伊珣
王兴民
CHEN Cai;ZHANG Qin;SUN Yuxi;WANG Wenjuan;LU Yixun;WANG Xingmin(Department of Gynaecological Ultrasound,Liuzhou Maternal and Child Health Care Hospital,Guangxi Zhuang Autonomous Region,Liuzhou545001,China;Department of Pathology,Liuzhou Maternal and Child Health Care Hospital,Guangxi Zhuang Autonomous Region,Liuzhou545001,China)
出处
《中国医药导报》
CAS
2019年第31期144-147,共4页
China Medical Herald
基金
广西壮族自治区卫生和计划生育委员会计划课题(Z2015193)
关键词
阴道彩超
子宫输卵管超声造影
实时三维
输卵管积水
诊断
Vaginal color Doppler ultrasound
Hysterosalpingography
Real-time three-dimensional
Hydrosalpinx
Diagnosis
