|本期目录/Table of Contents|

[1]余秀华,钱 斌,施 红,等.超声造影检查输卵管通畅性的临床价值[J].医学研究与战创伤救治(原医学研究生学报),2011,13(03):247.
　YU Xiu-hua,QIAN Bing,SHI Hong,et al.The value of SonoVue hysterosalpingo-contrast-sonography in the diagnosis of tubal patency[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(03):247.
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超声造影检查输卵管通畅性的临床价值()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第13卷
期数:
2011年03期
页码:
247
栏目:
出版日期:
2011-05-20

文章信息/Info

Title:
The value of SonoVue hysterosalpingo-contrast-sonography in the diagnosis of tubal patency
文章编号:
1672-271X(2011)03-0247-04
作者:
余秀华1; 钱 斌1; 施 红1; 毛静月2; 孙国权2; 李 黎1
310013 浙江杭州，解放军117医院，1.特诊科，2.妇产科
Author(s):
YU Xiu-hua1; QIAN Bing1; SHI Hong1; MAO Jing-yue2; SUN Guo-quan2; LI Li1.
1.Department of Ultrasound，2.Department of Gynecotokology,117 Hospital of PLA, Hangzhou，Zhejiang 310013,China
关键词:
输卵管; 不孕症; 超声检查; 造影剂
Keywords:
fallopian tube;  infertility;  ultrasonography;  contrast agent
分类号:
R711.6
DOI:
-
文献标志码:
A
摘要:
目的 探讨子宫输卵管超声造影检查(HyCoSy)对输卵管通畅性的诊断价值。方法 选择不孕症妇女35例(66条输卵管)，采用低机械指数下谐波超声造影技术，宫腔内注入浓度为1 mg/ml SonoVue生理盐水混合液10～15 ml，观察子宫输卵管的灌注过程，其结果与腹腔镜下输卵管通液术进行比较。结果 HyCoSy可以清晰显示造影剂在输卵管的流动路径，评价输卵管通畅的敏感性、特异性和准确性分别为95.5%、86.4%和92.4%，与腹腔镜检查者结果呈高度一致性(Kappa值为0.828)，判断阻塞部位的准确性为83.3%。结论 子宫输卵管超声造影检查诊断准确性高，安全易行，可作为检查输卵管通畅性的首选方法之一。
Abstract:
Objective To explore the diagnostic value of SonoVue hysterosalpingo-contrast-sonography ( HyCoSy ) in tubal infertility. Methods 35 infertile women(69 fallopian tubes)were examined with low mechanical index HyCoSy using SonoVue. 1.0ml (1mg/ml) SonoVue mixed with 10 to 15 ml sterile normal saline was injected into the uterine cavity. The transmission in the fallopian tubes was observed. The results from HyCoSy were compared with that from laparoscopic hydrotubation. Results HyCoSy using SonoVue can display the trace of contrast medium in the fallopian tube more clearly. Compared with laparoscopic hydrotubation, the sensitivity, specificity and accuracy of HyCoSy were 95.5%, 86.4% and 92.4% respectively. A high consistency was seen between HyCoSy and laparoscopic hydrotubation (Kappa=0.828). The accuracy of HyCoSy in diagnosis of the tubal occlusive position was 83.3%. Conclusion HyCoSy under SonoVue is a reliable, safe and easy examination, and may be one of the diagnostic examinations selected first.

参考文献/References:

[1]周路遥，谢晓燕，徐辉雄，等.胆道超声造影的临床价值初探[J]. 中华超声影像学杂志，2008,17(9):763-766.
[2]张 超，黄福光，黄品同，等.超声造影对小儿膀胱输尿管反流诊断价值的初步探讨[J]. 中华超声影像学杂志,2008,17(1):49-51.
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[4]裴 红，姜 宏，张文香，等. 子宫输卵管超声造影术在不孕症中的应用[J]. 东南国防医药, 2009,10(11):435-437.
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[6]高学文，王军霞，汪龙霞，等. 声诺维与双氧水子宫输卵管超声造影临床对照研究[J]. 中国医学影像技术杂志, 2008, 24(10):929-931.
[7]高学文, 何 文, 汪龙霞, 等. SonoVue子宫输卵管超声造影评价输卵管通畅性[J]. 中国医学影像技术杂志, 2008, 24(11):1799-1802.
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备注/Memo

备注/Memo:
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更新日期/Last Update: 2011-05-20