经阴道四维子宫输卵管超声造影在不孕症诊断中的应用价值

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Abstract Objective To explore the application of transvaginal four-dimensional hysterosalpingography(TVS 4D-Hy-CoSy)in the diagnosis of infertility.Methods A total of 100 patients with infertility who were treated in our hospital from January to June in 2017 were selected as the research subjects.All patients were preformed with TVS 4D-HyCoSy examinations and the results were compared with those using laparoscopic dye-fluid test.Results A total of 200 fallopian tubes were detected in 100 infertile patients after examinations.TVS 4D-HyCoSy examination showed that 110 tubes in patency,60 tubes in patency but not smooth,and the remaining 30 tubes in complete obstruction.Laparoscopic dyefluid examination indicated that the number of tubal patency,patency but not in total,and complete obstruction was 112,60,and 28.Set the laparoscopic dye-fluid examination as standard,the accordance rate of TVS 4D-HyCoSy in detecting tubal patency was 98.21%,and 100.00%for patency but not in total,and 92.86%for complete obstruction.The difference between the two examinations was not significant(P＞0.05).During the examination,there were 6 cases occurred with obvious pain and 1 case with mild pain in the TVS 4D-HyCoSy examination.The incidence of adverse reactions was 7.00%.Compared with laparoscopic dye-fluid examination,the difference was not significant(P＞0.05).Conclusion The use of TVS 4D-HyCoSy in the examination of infertility patients can effectively display the specific shapes of the uterus and fallopian tube,and can accurately determine its patency,which is an effective clinical examination method and is worthy of promotion.

Key words： TVS 4D-HyCoSy Infertility Fallopian tube patency

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	LI Gui-hong
	ZHANG Hong
	LUO Liu-ping
	CHEN Chun-xia

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LI Gui-hong,ZHANG Hong,LUO Liu-ping, et al. Application value of transvaginal four-dimensional hysterosalpingography in the diagnosis of infertility[J]. 中国当代医药, 2018, 25(19): 104-106.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I19/104

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