超声输卵管盆腔显影术在输卵管性不孕诊断中的应用

目的：探讨超声盆腔输卵管显影术在输卵管性不孕诊断中的临床意义。方法：40例输卵管性不孕的患者采用超声输卵管盆腔显影术进行检查，经官腔注水和腹腔灌注使腹盆腔积液后用阴道超声扫视盆腔，并与子宫输卵管碘油造影（HSG）结果相比较。结果：超声输卵管盆腔显影术检查40例中27条输卵管通畅，28条输卵管通而不畅，25条输卵管不通，54条输卵管伞端粘连；HSG检查28条输卵管通畅，33条输卵管通而不畅，19条输卵管不通，26条输卵管伞端粘连，超声输卵管盆腔显影术与HSG检查的总符合率为93．8％，检查通畅、梗阻、通而不畅、伞端粘连的符合率分别为96．4％、90．5％、84．8％、48．1％，2种方法的检出率差异无统计学意义（P〉0．05）。结论：超声输卵管盆腔显影可初步了解输卵管通畅性、形态及与周围组织有无粘连，有助于不孕症的诊断。

Study on clinical application of salpingosonography on the diagnosis of sapingian infertility

Objective: To development a method for the evaluation of tubal patency with trans vaginal ultrasonography(TVC).Methods: Scanning the pelvis with TVC,to compare with Hysterosalpingography(HSG) by two methods: intrauter hydrotubation and belly saline fill-in.Results: With the method for the evaluation of tubal patency with TVC,27 tubals were diagnosed as going-through fluently,28 as going-through influently,21 as obstruction,54 fimbriae of oviduct were diagnosed as adhesion;With HSG,28 tubals were diagnosed as going-through fluently,33 as going-through influently,19 as obstruction,26 fimbriae of oviduct were diagnosed as adhesion.Its total correspondence rate was 93.8%.Its correspondence rate 96.4% and 90.5% at the two aspects of diagnosing going-trough and obstruct.There was not difference between the evalauation of tubal patency at statistics(P>0.05).Conclusions: Salpingosonography is a primary way and it is simple and easy to conduct in the diagnosis of infertility.