二维和三维子宫输卵管造影超声检查在评估子宫腔和输卵管通畅性中的应用
2D and 3D hysterosalpingo-contrast-sonography in the assessment of uterine cavity and tubal patency.
作者信息
Kupesic Sanja, Plavsic Branko M
机构信息
Department of Obstetrics and Gynecology, Medical School University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2007 Jul;133(1):64-9. doi: 10.1016/j.ejogrb.2006.10.010. Epub 2007 Feb 27.
OBJECTIVE
To demonstrate the diagnostic efficacy of 2D B-mode, color and pulsed Doppler Hy-Co-Sy and 3D B-mode and power Doppler Hy-Co-Sy.
STUDY DESIGN AND METHODS
One hundred and fifty-two women were recruited into the 2D B-mode, color and pulsed Doppler Hy-Co-Sy study and 116 other women were recruited into the 3D B-mode and power Doppler Hy-Co-Sy study. We assessed the diagnostic performance (sensitivity, specificity, PPV and NPV) of 2D and 3D Hy-Co-Sy, compared to hysteroscopy, and laparoscopy and dye test in the assessment of uterine abnormalities and tubal patency, respectively.
RESULTS
The sensitivity, specificity, PPV and NPV of 2D hysterosonography compared to hysteroscopy were 93.6, 97.3, 98.2 and 97.3%, respectively. The sensitivity, specificity, PPV and NPV of 3D hysterosonography compared to hysteroscopy were 97.9, 100, 97.9 and 100%, respectively. Addition of color and pulsed Doppler to 2D Hy-Co-Sy and power Doppler to 3D Hy-Co-Sy contributed to diagnostic precision in detection of tubal patency. The sensitivity, specificity, PPV and NPV of 3D power Doppler Hy-Co-Sy in detection of tubal patency compared to laparoscopy and dye intubation were 100, 99.1, 99.2 and 100%, respectively.
CONCLUSION
2D and 3D Hy-Co-Sy are accurate methods for evaluation of uterine abnormalities and tubal patency in infertile patients.
目的
验证二维B超、彩色及脉冲多普勒子宫输卵管声学造影（Hy-Co-Sy）以及三维B超和能量多普勒Hy-Co-Sy的诊断效能。
研究设计与方法
152名女性被纳入二维B超、彩色及脉冲多普勒Hy-Co-Sy研究，另外116名女性被纳入三维B超和能量多普勒Hy-Co-Sy研究。我们分别评估了二维和三维Hy-Co-Sy与宫腔镜检查相比，以及在评估子宫异常和输卵管通畅性方面与腹腔镜检查及输卵管通液试验相比的诊断性能（敏感性、特异性、阳性预测值和阴性预测值）。
结果
与宫腔镜检查相比，二维子宫超声造影的敏感性、特异性、阳性预测值和阴性预测值分别为93.6%、97.3%、98.2%和97.3%。与宫腔镜检查相比，三维子宫超声造影的敏感性、特异性、阳性预测值和阴性预测值分别为97.9%、100%、97.9%和100%。在二维Hy-Co-Sy中添加彩色和脉冲多普勒以及在三维Hy-Co-Sy中添加能量多普勒有助于提高输卵管通畅性检测的诊断准确性。与腹腔镜检查和输卵管插管造影相比，三维能量多普勒Hy-Co-Sy检测输卵管通畅性的敏感性、特异性、阳性预测值和阴性预测值分别为100%、99.1%、99.2%和100%。
结论
二维和三维Hy-Co-Sy是评估不孕患者子宫异常和输卵管通畅性准确的方法。
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