摘要
目的探讨动态数字化输卵管造影在输卵管性不孕症中的诊断价值。方法选取2020年6月至2021年7月本院收治的80例不孕症患者作为研究对象,均采用动态数字化输卵管造影进行针对性检查,以腹腔镜输卵管通液检查结果作为金标准,分析动态数字化输卵管造影诊断价值、影像学表现,比较两种诊断方法不良反应发生情况。结果动态数字化输卵管造影诊断输卵性不孕症的准确率为83.75%,灵敏度为85.71%,特异度为79.17%,Kappa值为0.842。两种输卵管情况近、远端积水情况比较差异均无统计学意义。动态数字化子宫输卵管造影不良反应发生率为2.50%,低于腹腔镜输卵管通液检查的33.75%,差异有统计学意义(P<0.05)。结论采用动态数字化输卵管造影诊断子宫输卵不孕症准确率、灵敏度均较高,且安全性较好,值得临床推广应用。
Objective To explore the diagnostic value of dynamic digital salpingography in tubal infertility.Methods 80 cases of tubal infertility patients admitted to our hospital from June 2020 to July 2021 were selected as research subjects.All of them were targeted by dynamic digital salpingography.The diagnostic value and imaging manifestations of dynamic digital salpingography were analyzed with the results of laparoscopic salpingography as the gold standard.The occurrence of adverse reactions was compared between the two diagnostic methods.Results The accuracy,sensitivity,specificity and Kappa value of dynamic digital salpingography were 83.75%,85.71%,79.17%and 0.842 respectively.There was no significant difference between the two types of tubal hydrops.The incidence of adverse reactions of dynamic digital salpingography was 2.50%,which was lower than 33.75%of laparoscopy,and the difference was statistically significant(P<0.05).Conclusion The accuracy,sensitivity and safety of dynamic digital salpingography in the diagnosis of uterine ovulation infertility are high,and it is worthy of clinical promotion and application.
作者
谢财华
陈金华
罗石成
XIE Caihua;CHEN Jinhua;LUO Shicheng(Department of Radiology,the First Affiliated Hospital of Gannan Medical College,Ganzhou,Jiangxi,341000,China;Department of Gynecology Oncology,Ganzhou Cancer Hospital,Ganzhou,Jiangxi,341000,China)
出处
《当代医学》
2023年第12期99-101,共3页
Contemporary Medicine
