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目的:探讨腔内实时三维超声在体外受精-胚胎移植(IVF-ET)失败的不孕症检查中的临床应用价值。方法:回顾性分析行IVF-ET失败的121例患者宫腔镜及腔内实时三维超声检查资料。结果:121例患者中腔内实时三维超声检查符合率约98.3%(119/121),宫腔镜检查诊断符合率约90.9%(110/121),两者之间差异有统计学意义(P<0.05),其中在宫腔粘连、宫腔粘连合并子宫畸形诊断中两种方法之间差异有统计学意义(P<0.05)。结论:腔内实时三维超声检查诊断符合率较高且符合卫生经济学要求,在女性不孕症患者的诊疗过程中值得普及和推广。
Objective: To investigate the clinical value of intracavity real-time three-dimensional ultrasound in infertility examination after failure of in vitro fertilization-embryo transfer (IVF-ET). Methods: The data of hysteroscopy and intracavitary real-time three-dimensional ultrasonography in 121 patients with failed IVF-ET were retrospectively analyzed. Results: The coincidence rate of intracavitary real-time three-dimensional echocardiography was 98.3% (119/121) in 121 patients and 90.9% (110/121) in hysteroscopy, the difference was statistically significant (P <0.05). There was a significant difference between the two methods in the diagnosis of intrauterine adhesions and intrauterine adhesions combined with uterine malformations (P <0.05). Conclusion: The diagnostic accuracy of intracavitary real-time three-dimensional ultrasonography is high and meets the requirements of health economics. It is worth popularizing and popularizing in diagnosis and treatment of female infertility patients.