Assessment of 4D-HyCoSy combined with contrast media in uterine pressure measurement for the evaluation of tubal patency

doi:10.13418/j.issn.1001-165x.2022.2.22

PDF(1234 KB)

Chinese Journal of Clinical Anatomy ›› 2022, Vol. 40 ›› Issue (2) : 234-238. DOI: 10.13418/j.issn.1001-165x.2022.2.22

Assessment of 4D-HyCoSy combined with contrast media in uterine pressure measurement for the evaluation of tubal patency

Chang Ye, Wang Linlin, Lin Chunhong

Author information +

History +

Abstract

Objective　To investigate the diagnostic value of four-dimensional hysterosalpingography (4D-Hycosy) combined with contrast media in intrauterine pressure measurement for the evaluation of tubal patency.　Methods　A total of 150 infertile patients who underwent 4D-Hycosy examination in our hospital from January 2018 to December 2019 were selected to observe the sonographic characteristics of patients with countercurrent. The incidence of countercurrent and the injection pressure of contrast media in patients with different tubal patency were compared.　Results　The coincidence rate between 4D-Hycosy in the diagnosis of tubal patency and laparoscopic liquid was 74.67%. 4D-Hycosy was consistent with laparoscopy in the diagnosis of tubal patency (P<0.05). Among the 150 cases, 56 cases (accounting for 37.33%) had countercurrent, including 38 cases (accounting for 67.86%) of myometrial countercurrent and 18 cases (accounting for 32.14%) of parauterine venous plexus countercurrent. There were statistical differences in tubal injection pressure by pairwise comparison of bilateral patency, bilateral obstruction, incomplete patency or obstruction on one side (P<0.05). ROC curve showed that AUC, sensitivity and Yoden index of combined diagnosis were higher than those of single 4D-Hycosy (P<0.05).　Conclusions　4D-Hycosy combined with contrast media in intrauterine pressure measurement can improve the diagnostic value of tubal patency.

Key words

4D-HyCoSy; / / Countercurrent;　 Uterine pressure;　 Tubal patency

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Chang Ye, Wang Linlin, Lin Chunhong. Assessment of 4D-HyCoSy combined with contrast media in uterine pressure measurement for the evaluation of tubal patency[J]. Chinese Journal of Clinical Anatomy. 2022, 40(2): 234-238 https://doi.org/10.13418/j.issn.1001-165x.2022.2.22

References

[1] 邓林, 王艺璇, 李天刚, 等. 输卵管通畅度评估方法及应用进展[J]. 中国计划生育和妇产科, 2020, 12(7): 6-9. DOI: 10.3969/j.issn.1674-4020.2020.07.02.
[2] 何雅星, 汪昌玉. X-HSG与4D-HyCoSy诊断输卵管通畅性的价值[J]. 中国医师杂志, 2017, 19(9): 1418-1420. DOI: 10.3760/cma.j.issn.1008-1372.2017.09.040.
[3] 杨凤娟. 四维超声造影在评估不孕症输卵管通畅程度中的临床价值[J]. 中国数字医学, 2017, 12(5): 81-83. DOI: 10.3969/j.issn.1673-7571.2017.05.027.
[4] 张春花, 李小平, 邓艳辉, 等. 四维超声造影联合宫腔压力在评估不孕症输卵管通畅程度中的应用[J].中国数字医学, 2020, 15(5): 139-141. DOI: 10.3969/j.issn.1673-7571.2020.05.048.
[5] 官文征, 王秀霞. 输卵管性不孕症诊治的规范化[J]. 实用妇产科杂志, 2020, 36(5): 335-338.
[6] 肖艳, 袁丽, 丁波, 等. 四维子宫输卵管超声造影诊断不孕的价值研究[J]. 中国性科学, 2018, 27(2): 118-120. DOI: 10.3969/j.issn.1672-1993.2018.02.038.
[7] 张婧, 董冲亚, 香钰婷, 等. 经阴道四维子宫输卵管超声造影临床耐受性及相关因素分析[J]. 实用妇产科杂志, 2019, 35(3): 199-203. DOI: 10.154/j.1002.2019002147.
[8] Promberger R, Simek IM, Nouri K, et al. Accuracy of tubal patency assessment in diagnostic hysteroscopy compared to laparoscopy in infertile women: a retrospective cohort study[J]. J Minim Invasive Gynecol, 2018, 25(5): 794-799. DOI: 10.1016/j.jmig.2017.11.020.
[9] Ludwin I, Ludwin A, Nastri C, et al. Inter-rater reliability of air/saline HyCoSy, HyFoSy and HyFoSy combined with power doppler for screening tubal patency[J]. Ultraschall Med, 2019, 40(1): 47-54. DOI: 10.1055/s-0043-120111.
[10]黄平, 陈光元. 异位妊娠腹腔镜保守手术中行输卵管逆行通液的应用价值[J].河北医学, 2015, 21(3): 382-385. DOI: 10.3969/j.issn.1006-6233.2015.03.010.
[11]安晓霞, 席晓, 郭建梅. 联合应用2D-HyCoSy和4D-HyCoSy诊断不育症妇女输卵管通畅性的效果[J]. 基因组学与应用生物学, 2018, 37(11): 5000-5005. DOI: 10.13417/j.gab.037.005000.
[12]周青, 熊雯, 陈琴, 等. TVS4D-HyCoSy评估不孕症患者输卵管通畅度的临床应用分析[J]. 实用医院临床杂志, 2017, 14(6): 55-57. DOI: 10.3969/j.issn.1672-6170.2017.06.015.
[13]桑颖, 周星星, 王伟群, 等. 经阴道四维子宫输卵管超声造影逆流影响因素分析[J].中华超声影像学杂志, 2020, 29(8): 706-710. DOI: 10.3760/cma.j.cn131148-20200304-00141.
[14]刘满荣, 黄健源, 丁可, 等. 子宫输卵管四维超声造影在输卵管通畅度评估中的应用价值[J]. 广西医学, 2020, 42(6): 766-768. DOI: 10.11675/j.issn.0253-4304.2020.06.26.
[15]王瑞, 王金萍, 张超学. 子宫输卵管四维超声造影剂逆流发生影响因素的Logistic回归分析[J]. 第三军医大学学报, 2019, 41(15): 1473-1477. DOI: 10.16016/j.1000-5404.201902157.
[16]刘维国, 赵婷婷. 输卵管堵塞数目及子宫内膜厚度对不孕症患者动态子宫输卵管超声造影检查中造影剂逆流影响[J]. 临床军医杂志, 2018, 46(3): 327-328. DOI: 10.16680/j.1671-3826.2018.03.26.
[17]石富文, 杨敏, 顾小宁, 等. 经阴道四维子宫输卵管超声造影诊断输卵管通畅性漏误诊情况分析[J]. 山东医药, 2019, 59(13): 68-70. DOI: 10.3969/j.issn.1002-266X.2019.13.019.