超声造影检查输卵管通畅性的临床价值

目的 探讨子宫输卵管超声造影检查(HyCoSy)对输卵管通畅性的诊断价值.方法 选择不孕症妇女35例(66条输卵管),采用低机械指数下谐波超声造影技术,官腔内注入浓度为1 mg/ml SonoVue生理盐水混合液10～15ml,观察子宫输卵管的灌注过程,其结果与腹腔镜下输卵管通液术进行比较.结果 HyCoSy可以清晰显...

The value of SonoVue hysterosalpingo-contrast-sonography in the diagnosis of tubal patency

Objective To explore the diagnostic value of SonoVue hysterosalpingo-contrast-sonography(HyCoSy) in tubal infertility.Methods 35 infertile women(69 fallopian tubes)were examined with low mechanical index HyCoSy using SonoVue.1.0ml(1mg/ml) SonoVue mixed with 10 to 15 ml sterile normal saline was injected into the uterine cavity.The transmission in the fallopian tubes was observed.The results from HyCoSy were compared with that from laparoscopic hydrotubation.Results HyCoSy using SonoVue can display the trace of contrast medium in the fallopian tube more clearly.Compared with laparoscopic hydrotubation,the sensitivity,specificity and accuracy of HyCoSy were 95.5%,86.4% and 92.4% respectively.A high consistency was seen between HyCoSy and laparoscopic hydrotubation(Kappa=0.828).The accuracy of HyCoSy in diagnosis of the tubal occlusive position was 83.3%.Conclusion HyCoSy under SonoVue is a reliable,safe and easy examination,and may be one of the diagnostic examinations selected first.