摘要
目的探讨在诊断输卵管源性不孕症中经阴道超声造影评价输卵管通畅性的应用价值。方法选择不孕症妇女222例，在经阴道超声下观察造影剂在宫腔及输卵管内的显影情况，并与输卵管通液术、X线子宫输卵管碘油造影、腹（宫）腔镜检查结果进行对照分析。结果222例中73例双侧输卵管通畅，60例双侧梗阻，4例双侧通而不畅，72例一侧通畅，13例一侧通而不畅。超声造影较输卵管通液术诊断准确率明显提高（P〈0．05），与腹（宫）腔镜检查诊断准确率无明显差异（P〉0．05），较X线子宫输卵管碘油造影的诊断符合率高。结论超声造影安全性高，且有诊断和治疗的作用，是检查输卵管通畅性的较佳方法。
Objective To evaluate the value of diagnosis and treatment of fallopian tube pateney by using hysterosalpingoeontrast sonography （HyCoSy） with SonoVue and transvaginal ultrasound for infertile women. Methods Two hundred and twenty two infertile women were examined by HyCoSy-SonoVue to observe flowing condition in womb and fallopian tube, the results were compared with hydrotuhation, X-ray hysterosalingography（HSG） and laparoscopy（hysteroscopy）. Results In the 222 cases,73 cases were both side of fallopian tube patency, 72 cases were single fallopian tube patency, 13 cases were single partial obstruction,60 cases were both side of fallopian tube pinning,4 cases were both partial obstruction. There was a significant difference on pregnancy rates between the HyCoSy SonoVue and hydrotubation （ P 〈 0. 05）. There was no difference on diagnostic rates of fallopian tube pateney between the HyCoSy SonoVue and laparoscopy （hysteroscopy）（ P 〉 0.05）, the diagnostic rate of HyCoSy-SonoVue was higher than that of HSG. Conclusions The HyCoSy-SonoVue method is safety and it would be an effective diagnosis in the evaluation of fallopian tube pathology for infertile women.
出处
《中华超声影像学杂志》
CSCD
北大核心
2009年第3期238-240,共3页
Chinese Journal of Ultrasonography
