子宫输卵管超声造影联合宫腔水造影对宫腔病变的诊断价值

•16*福建医药杂志20丄8年8月第40卷第4期Fujian Med J，August20丄8，V()l.40，N().4

treatmen t and prevention of multiple sy stem organ failure after open-heart operation[J].C'hin C'riti C'ar M e d，2004，24(2):

8 丄-83.

[]Ng C S，W an S，Y im A P.et al.Pulmonary dysfunction after ca r­diac surgery[J].C'hest，2002，丄2丄（4)：丄269-丄277.

[4]W ynne R，Botti M.Postoperative pulmonary dysfunction in

adults after cardiac surgery with cardiopulmonary bypass clinical significance and implications for prattle[].A m J Crit C a r e，2004，丄3():384-393.

[5]Loeckinger A，Kleinsasser A，Lindner K H，et al.Continuous

positive a i rwa y pressure a t丄0 cm H2O during cardiopulmonary bypass improves postoperative gas exchange[J].Anesth A n a lg，2000，9丄⑶：522-527[]戴双波，古妙宁，齐娟.不同压力静态膨肺对患者体外循环心脏瓣膜置换术后肺功能的影响[].中华麻醉学杂志，20丄3，33 (丄丄）：丄293-丄295.

[7]A ltm ay E，K a r a c a P，Yurtseven N，et al.C'ontinuous positive

airway pressure does not improve lung function after cardiac su r­gery[J].C'an J A n a e s t h，2006，53(9)：919-925.

[8]Figueiredo L C，A ra j)S，Abdala R C，et al.C P A P at丄0〇1：11

H2O during cardiopulmonary bypass does not improve postopera­tive gas exchange[J].R ev Bras Cir Card iov asc，2008，23(2): 209-2丄5．

[9]B e r r y C B，Butler P J，Myles PS.Lung m anagemen t during ca r­

diopulmonary by p as s：Is continuous positive airways pressure beneficial?[J].B r J A n a e s t h，丄993，7丄（6)：864-868.

•临床研究•

子宫输卵管超声造影联合宫腔水造影对宫腔病变的诊断价值

福建医科大学省立临床医学院超声科（福州35000丄）李丽玲郭薇范志华唐力李建卫

【摘要】目的将经阴道实时三维子宫输卵管超声造影（T V S R T3D-H y C o S y)与宫腔水造影（S I S)联合应用，旨

在探讨两种造影联合应用对不孕症患者宫腔病变的诊断价值，为临床不孕症病因诊断提供更全面客观的依据。方法选择

206年1月至2017年2月在我院拟行宫腹腔镜手术的66例不孕症患者，术前行T V S R T3D~H y C o S y联合S S，根据宫腔

镜检查（H S)结果分为宫腔病变组和无宫腔病变组，比较T V S R T3D-H y C o S y联合S S和T V S R T3D>H y C o S y两种方法对

宫腔病变的诊断敏感度、特异度、准确率、K a p p a值，分析两种方法的诊断效能。结果以H S为标准，T V S R T3D-

H y C o S y联合S S诊断宫腔病变的灵敏度89.65%、特异度97.29%、准确率93.93%;T V S R T3D-H y C o S y诊断宫腔病变的

灵敏度48.27%、特异度89.丄8%、准确率71.2丄％;两种方法的特异度差异无统计学意义（P>0.05)，灵敏度、准确率差

异有统计学意义（P〈0.05)。结论T V S R T3D-H y C o S y联合S S可以提高宫腔病变的诊断准确性。

【关键词】子宫输卵管超声造影；宫腔水造影；女性不孕症；宫腔病变

【中图分类号】R71 1.74【文献标识码】B【文章编号】1002-2600(2018)04-0016-05

D iagnosis value o f H ysterosalp in g co n stra st s o n o g ra p h y co m b in e d w ith S a lin e so lu tio n in fu tio n s o n o h y s t o n u te rin e c a v ity le sio n s L I L i l i n g，G U O W e i，F A N Z h i h u a，T A N G L i，L I J i a n w e i.D e p a r t m e n t o f u l t r a s o u n d，

P r o v i n c i a l C l i n i c a l M e d i c a l C o ll e g e o f F u j i a n M e d i c a l U n i v e r s i t y，F u z h o u，F u j i a n35000 丄，C h in a 【Absract】Objective T o assess the diagnosis value of transvaginal ultrasound real time three-dimensional hysterosalping

constrast sonography(T V S R T3D-H y C o S y.)combined with saline solution infution sonohysterography(S I S)on uterine cavity

lesions in patients with infertility，providing a more comprehensive and objective diagnosis of the cause of i T h e66patients with infertility were detected by T V S R^P3D-H y C oSy combined with S I S in Fujian Provincial Hospital from J a n­

uary2016to December2017,who would be operated for both Hystcroscopy( H S)and Laparoscopic surgery(L P S).66P a­

tients of T V S R T3D-H yC oSy combined with S I S were divided into two gro u p s：uterine cavity lesions and n sions.八ccording to hystcroscopy(H S)，we compared the results of T V S R T3D-H y C o S y a n d T V S R T3D-H y C o S y combined

with S I S in the diagnosis of uterine cavity lesions and analyzed the diagnostic efficacy of the two m two methods of T V S R T3D-H y C oSy with S I S and T V S R T-3D-H y C o S y in diagnosing uterine cavity lesions taking H S as the

gold standard.T h e sensitivity，specificity and acurracy of T V S R T-3D-H y C o S y combined with S I S diagnosing uterine cavity le­

sions were89.65 %，97.29%，93.93%.T h e sensitivity，specificity and acurracy of T V S R T-3D-H y C o S y diagnosing uterine

cavity lesions were48.27 %，89.18%，71.2 1%.T h e specificity difference between the two methods w 0.05).T'he sensitivity and accuracy difference between the two methods were statistically significant T V S R T3D-H yC oSy combined with S I S could improve the accuracy of diagnosis in uterine cavity lesions.