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| Clinical application value of vaginal color Doppler ultrasound combined with real-time three-dimensional hysterosalpingography in the diagnosis of hydrosalpinx |
| CHEN Cai1 ZHANG Qin1 SUN Yuxi1 WANG Wenjuan1 LU Yixun1 WANG Xingmin2▲ |
| 1.Department of Gynaecological Ultrasound, Liuzhou Maternal and Child Health Care Hospital, Guangxi Zhuang Autonomous Region, Liuzhou 545001, China; 2.Department of Pathology, Liuzhou Maternal and Child Health Care Hospital, Guangxi Zhuang Autonomous Region, Liuzhou 545001, China |
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Abstract Objective To explore the clinical application value of svaginal color Doppler ultrasound combined with real-time three-dimensional hysterosalpingography (RT-3D-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-3D-HyCoSy, vaginal color Doppler ultrasound combined with RT-3D-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-3D-HyCoSy were higher than those of vaginal color Doppler ultrasound, and sensitivity and negative predictive value were higher than those of RT-3D-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-3D-HyCoSy was the highest. Conclusion RT-3D-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-3D-HyCoSy. It can provide valuable basis for clinical selection and formulation of reasonable treatment program.
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[1] El-Mazny A，Abou-Salem N，Hammam M，et al. Hysteroscopic tubal electrocoagulation versus laparoscopic tubal ligation for patients with hydrosalpinges undergoing in vitro fertilization [J]. Int J Gynaecol Obstet，2015，130（3）：250-252.
[2] Mascarenhas MN，Flaxman SR，Boerma T，et al. National，regional，and global trends in infertility prevalence since 1990：a systematic analysis of 277 health surveys [J]. PLoS Med，2012，9（12）：e1 001 356.
[3] 赵红翠，朱亮.输卵管积水对人类辅助生殖的影响及处理对策[J].中国优生与遗传杂志，2011，19（3）：9-11.
[4] 靳镭，朱桂金，章汉旺，等.输卵管积水及其预处理方式对体外受精-胚胎移植结局的影响[J].中华妇产科杂志，2006，41（11）：767-769.
[5] 陈明高，王丽华，张炎，等.输卵管积水不同处理方式对体外受精-胚胎移植结局的影响[J].介入放射学杂志，2018，27（12）：1173-1176.
[6] 于晓明，关菁，韩红敬，等.薄壁及厚壁输卵管积水整形术后妊娠结局和复发情况比较研究[J].中国实用妇科与产科杂志，2016，32（1）：90-93.
[7] 朱蕾蕾，冯淑英.宫腔镜输卵管近端栓塞术在体外受精-胚胎移植前预处理输卵管积水中的应用[J].国际生殖健康/计划生育杂志，2015，34（2）：145-147.
[8] 何姗，潘丽贞.输卵管积水中医证素分布规律研究[J].中外医学研究，2018，16（33）：176-178.
[9] 赵威武，孙厚坦，李璐璐，等.输卵管积水的超声诊断及漏诊、误诊原因分析[J].中国医学影像技术，2010，26（8）：1594-1595.
[10] Li L，Xu BF，Chen QJ，et al. Effects of hydrosalpinx on pinopodes，leukaemia inhibitory factor，integrin beta3 and MUC1 expression in the peri-implantation endometrium [J]. Eur J Obstet Gynecol Reprod Biol，2010，151（2）：171-175.
[11] Johnson NP，Mak W，Sowter MC. Surgical treatment for tubal disease in women due to undergo in vitro fertilisation [J]. Cochrane Database Syst Rev，2004（3）：CD 002 125.
[12] Ozmen B，Diedrich K，Al-Hasani S. Hydrosalpinx and IVF：assessment of treatments implemented prior to IVF [J]. Reprod Biomed Online，2007，14（2）：235-241.
[13] 章汉旺，卜志勤.输卵管积水的治疗策略[J].实用妇产科杂志，2011，27（8）：575-577.
[14] Sharma JB，Sneha J，Singh UB，et al. Comparative Study of Laparoscopic Abdominopelvic and Fallopian Tube Findings Before and After Antitubercular Therapy in Female Genital Tuberculosis With Infertility [J]. J Minim Invasive Gynecol，2016，23（2）：215-222.
[15] 李辉，李云，付群，等.经阴道二维超声诊断剖宫产术后瘢痕妊娠的效果观察[J].中国医药科学，2018，8（19）：160-162.
[16] 徐子宁，王灵燕，张竹君，等.经阴道二维超声对输卵管积水的鉴别诊断[J].中国医学计算机成像杂志，2006（6）：405-407.
[17] 赵威武，孙厚坦，李璐璐，等.输卵管积水的超声诊断及漏诊、误诊原因分析[J].中国医学影像技术，2010，26（8）：1594-1595.
[18] 陆小燕，刘爱玲.二维与三维超声造影诊断不孕症患者输卵管通畅性的临床应用分析[J].医学影像学杂志，2017，27（2）：377-379.
[19] 陈号一.宫腔二维、三维超声对宫腔粘连的诊断价值[J].中国现代医生，2019，57（24）：117-120.
[20] 李晋.经阴道二维及三维超声对子宫内膜息肉诊断的时效性及准确率对比分析[J].中外医学研究，2019，17（21）：57-59.
[21] 熊维，应涛.输卵管超声造影的临床应用及研究进展[J].中华医学超声杂志：电子版，2016，13（11）：872-874.
[22] 石秀玲，张巍，王丹，等.经阴道实时三维子宫输卵管超声造影在不孕症患者输卵管通畅性评价中的应用价值[J].中国计划生育和妇产科，2018，10（11）：88-91.
[23] 王丹，李利琼，李萍，等.经阴道三维超声成像对宫腔粘连患者诊断准确率的影响[J].中外医学研究，2018，16（2）：62-64.
[24] 陆敏姣，蒋天安，姬亚敏，等.超声引导输卵管造影在不孕症患者中的诊断效果及对预后的影响研究[J].中国超声医学杂志，2018，34（9）：824-828.
[25] 程琦，王莎莎，朱贤胜，等.经阴道子宫输卵管四维超声造影评估输卵管的通畅性[J].中国医学影像技术，2013， 29（3）：455-458.
[26] 张书君，姜海娜，孙卓贵.经阴道三维、四维子宫输卵管超声造影诊断输卵管通畅性的价值[J].医疗装备，2017， 30（4）：20-21. |
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