Abstract:

Objective

To evaluate the clinical value of real-time dynamic three-dimensional painless tubal contrast-enhanced ultrasonography.

Methods

One hundred and sixty-three women who had suspected tubal infertility at Hangzhou Hospital of Traditional Chinese Medicine from June 2021 to March 2024 were selected as the study subjects.They were divided into a control group, an experimental group,and an observation group by the random number table method, involving 59 women in the control group with 117 fallopian tubes, 54 women in the experimental group with 103 fallopian tubes, and 50 women in the observation group with 100 fallopian tubes.The control group underwent X-ray hysterosalpingography,and real-time dynamic three-dimensional painless (performed under anesthesia) tubal contrast-enhanced ultrasonography was used in the experimental group.Real-time dynamic three-dimensional tubal contrastenhanced ultrasonography was used in the observation group.The three groups of patients were statistically analyzed for the excellent rate of contrast images obtained, the accuracy of diagnosis of tubal patency, and the rate of adverse reactions.The comparison of continuous variables within the group was performed using multifactorial repeated-measures analysis of variance, and categorical variables between groups were compared using the χ² test.

Results

The excellent rate of contrast images in the experimental group was higher than that of the control group (91.26% vs 81.2%; χ²=4.585, P＜0.001).In terms of the diagnosis of tubal patency,the rate of impatency in the experimental group was significantly higher than that of the control group and the observation group (89.32% vs 77.00%, χ²=5.892, P=0.015; 89.32% vs 76.92%, χ²=5.523, P=0.019).In terms of adverse reactions, the rate of pain in the control group and observation group was significantly higher than that of the experimental group (20.34% vs 0, χ²=12.288, P＜0.001; 20.00% vs 0, χ²=11.949, P＜0.001),and the rate of nausea and vomiting in the control group and observation group was significantly higher than that of the experimental group (11.86% vs 0, χ²=4.941, P=0.026;10.00% vs 0, χ²=5.673, P=0.023).

Conclusion

Real-time dynamic three-dimensional painless tubal contrast-enhanced ultrasonography is more effective in asessing tubal patency, with images having higher quatlity, and it can improve the diagnostic accuracy and effectively reduce the rate of adverse reactions.

Key words: Tubal, Ultrasonography, Painless, Radiography, Infertility