Diagnosis of infertility and clinical analysis of fallopian tube patency by three-dimensional ultrasonic hysterosalpingography
10.3969/j.issn.1673-9701.2025.14.005
- VernacularTitle:三维超声子宫输卵管造影对不孕症的诊断及输卵管通畅度的临床分析
- Author:
Xiaoke JIN
1
;
Liting CHEN
;
Huifang CHENG
;
Suzhi HU
Author Information
1. 浙江中医药大学附属丽水市中医院超声科,浙江 丽水 323000
- Publication Type:Journal Article
- Keywords:
Three-dimensional ultrasonic hysterosalpingography;
Infertility;
Tubal patency
- From:
China Modern Doctor
2025;63(14):18-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnosis of infertility and clinical analysis of tubal patency by three-dimensional ultrasonic hysterosalpingography.Methods A total of 102 infertility patients admitted to Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University from December 2022 to December 2024 were selected as the study objects to analyze the diagnosis of infertility and the clinical application of three-dimensional ultrasound hysterosalpingography on tubal patency.Results Of 102 infertility patients,the detection rate was 97.06％,the misdiagnosis rate was 0,and the missed diagnosis rate was 2.94％.The sensitivity,specificity and area under the curve of three-dimensional ultrasound hysterosalpingography for infertility were 72.65％,84.83％and 0.819.A total of 204 fallopian tubes were examined in 102 patients.Hysteroscopic fallopian tube staining showed patency(30.39％),obstruction(31.37％),and three-dimensional ultrasonic hysterosalpingography showed patency(31.86％),obstruction(32.35％).Compared with inflammation,the injection pressure,flow time and reverse flow of contrast agent in tumor and cyst lesions and congenital dysplasia were decreased(P<0.05),but there was no significant difference between tumor and cyst lesions and congenital dysplasia(P<0.05).In 102 patients,there was no hypersensitivity or other adverse reactions in the examination of three-dimensional ultrasound hysterosalpingography,and the satisfaction rate was 96.08％.Conclusion Three-dimensional ultrasound hysterosalpingography has a high diagnostic value for infertility,and can effectively evaluate the patency of fallopian tube,with high safety and patient satisfaction.
