Premium
EP35.07: Analysis of tubal occlusion region proportion in four‐dimensional hysterosalpingo‐contrast‐sonography
Author(s) -
Wang W.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21834
Subject(s) - medicine , fallopian tube , ectopic pregnancy , adhesion , occlusion , surgery , pregnancy , genetics , biology , chemistry , organic chemistry
Objective: Analysis of tubal occlusion region proportion of proximal, distal and middle in TVS four-dimensional hysterosalpingo contrast sonography (TVS 4D-HyCoSy), and explore the common causes of tubal obstruction. Method: Retrospective analysis 2514 female infertile patients performed TVS 4D-HyCoSy in our hospital from 2018 January to 2018 December. The examination results showed that 823 patients were unilateral or bilateral tubal obstruction (32.7%, 823/2514). The composition ratio of proximal, middle and distal obstruction is calculated. The coincidence rate of fallopian tubes obstruction was compared with laparoscopic chromopertubation (LAP) in sixty-two patients. Results In the 823 patients, 44 fallopian tubes were removed one or both sides due to ectopic pregnancy or ligated. Of the remaining 1602 tubes, obstruction account for 36.96% (597/1602). Of which 223 tubes were proximal obstruction (37.35%, 223/1602), 57 fallopian tubes were middle obstruction (9.55%, 57/1602) and 317 fallopian tubes were distal obstruction (53.10%, 317/1602). Statistics showed that the coincidence rate of 4D-HyCoSy with LAP for diagnosis of tubal obstruction was 94.3% (117/124), the sensitivity was 90.1% (51/56), and the specificity was 94.1% (64/68). Conclusion