中文摘要：

目的 探讨动态三维子宫输卵管超声造影在输卵管阻塞中的应用。方法 选取2015年6月~2016年10月来本院就诊的不孕症患者120例,均行动态三维子宫输卵管超声造影（3D-Hy Co Sy）和X线下输卵管碘海醇注射液造影检查,并与腹腔镜通染液实验（laparoscopy and dye test,CLP）就灵敏度、特异性、准确性进行比较。结果 本研究40例患者,共80条输卵管,经3D-Hy Co Sy检测显示输卵管通畅48条,通而不畅15条,阻塞17条;经X线下输卵管碘海醇注射液造影检测显示输卵管通畅47条,通而不畅16条,阻塞17条。两种方法总体符合率为87.50%,有高度一致性（P=0.00,Kappa值=0.779）。以CLP检测结果为对照,3D-Hy Co Sy检测的灵敏度、特异性、准确性分别为90.90%、93.62%、92.50%;而X线下输卵管碘海醇注射液造影检测的灵敏度、特异性、准确性分别为87.88%、89.36%、88.75%。结论 在输卵管阻塞患者中实施3D-Hy Co Sy较X线下输卵管碘海醇注射液造影更能全面、客观、安全的显示患者输卵管通畅情况,就其综合优点来分析,有望成为日后输卵管阻塞患者诊治的主要检测方法。

英文摘要：

Objective To investigate the application of dynamic three-dimensional hyterosalpingo-contrast-sonography in tubal obstruction. Methods 120 patients with infertility who were diagnosed in our hospital from June 2015 to October 2016 were selected. The patients were all given dynamic three-dimenslonal hyterosalpingo-contrast-sonography （3D-HyCoSy） and X-ray tubal iohexol injection angiography. Their sensitivity, specificity and accuracy were compared with those in laparoscopy and dye test （CLP）. Results In this study, there were 40 patients and a total of 80 Fallopian tubes. By the 3D-HyCoSy exam, it showed tubal patency was in 48 tubes, being accessible but not smooth in 15 tubes, and being obstructed in 17 tubes; X-ray tubal iohexol injection angiography showed tubal patency was in 47 tubes, be- ing accessible but not smooth in 16 tubes, and being obstructed in 17 tubes. The overall coincidence rate of the two methods was 87.50%, with high consistency（P=0.00, Kappa=0.779）. The sensitivity, specificity and accuracy of 3D-Hy- CoSy were 90.90%, 93.62% and 92.50% respectively with the CLP test results as the control; the sensitivity, specificity and accuracy of X-ray tubal iohexol injection angiography were 87.88%, 89.36% and 88.75% respectively. Conclusion The implementation of 3D-HyCoSy in patients with tubal obstruction is more comprehensive, objective and safer than that of X-ray tubal iohexol injection angiography to show patients＇ tubal patency. Its comprehensive advantages are analyzed, and it is expected to become the future main detection method in the treatment of tubal obstruction.