输卵管通畅性检查方法的临床进展

临床中检查输卵管是否通畅的方法有输卵管通液术、子宫输卵管X线造影(hysterosalpingography,HSG)、子宫输卵管超声造影(hysterosalpingo contrast sonography,HyCoSy)和腹腔镜输卵管通液术检查。输卵管通液术因其盲通、不可视的缺点已较少应用于临床。HSG根据碘油对比剂分布评价输卵管的通畅性,目前是输卵管通畅性检查的首选方法,但会出现对比剂不良反应及辐射损伤。腹腔镜输卵管通液术检查作为输卵管是否通畅的"金标准",因其价格高昂不作为输卵管检查的首选方法。HyCoSy因其实时动态、可视化、无辐射等优点已成为研究热点,随着超声造影剂的发展及低压推注泵和压力监测仪在临床中的应用,HyCoSy有望超越HSG成为输卵管通畅性检查的首选方法。

Clinical Progress of Tubal Patency Tests

Tubal Patency tests include procedures like hydrotubation, hysterosalpingography(HSG), hystero-salpingo contrast sonography(HyCoSy) and laparoscopic hydrotubation. Hydrotubation is seldomly undertaken due to its invisibility. HSG is the first choice of tubal patency test, which evaluates tubal patency based on the distribution of lipiodol contrast. Adverse contrast reactions and radiation injury may occur. As the "gold standard" for tubal patency test, laparoscopic hydrotubation is not our preferred choice due to expensiveness. In recent years, Hy Co Sy has become a research hotspot because of its real-time dynamic,visualization, radiationless and other advantages. With the development of ultrasound contrast agents and the application of low-pressure injection pump and pressure monitor, Hy Co Sy is expected to surpass HSG and become the preferred method for tubal patency test.