经阴道子宫输卵管三维超声造影评价输卵管通畅性的初步研究  

Transvaginal three-dimensional hysterosalpingo-contrast sonography in assessment of tubal patency

作　　者：钱蓉蓉[1] 林纪光[1] 蔡惠兰[2] 蔡珠华[2] 庄微雅[2] 薛文珍[1] 

机构地区：[1]温州医学院附属第三医院超声影像科,325200 [2]温州医学院附属第三医院妇产科,325200

出　　处：《浙江医学》2013年第1期23-25,共3页Zhejiang Medical Journal

摘　　要：目的探讨经阴道子宫输卵管三维超声造影（three—dimensionalhysterosalpingo—contrastsonography，3DHy—CoSy）在输卵管源性不孕症诊疗中的应用价值。方法选择不孕症妇女104例，将双腔子宫输卵管造影管置入宫腔，经导管推注稀释SonoVue超声造影剂，采用经阴道三维超声造影技术评估输卵管通畅性。并继续实时二维观察双侧的通畅情况，其中2例行腹腔镜检查，30例行子宫输卵管X线造影（HSG）。结果56例双侧通畅；10例双侧阻塞；8例双侧通而不畅；18例一侧通畅，一侧阻塞；12例一侧通畅，一侧通而不畅；本组2例与腹腔镜对照符合。30例与HSG对照，输卵管通畅符合率100％，输卵管通而不畅符合率50％，输卵管阻塞符合率67％。结论经阴道3DHyCoSy能真实展现输卯管的空间走行，并能准确判断输卵管的通畅性，可作为一种新的一线筛查不孕症患者输卵管通畅性的有效手段。Objective To CoSy） in fallopian tube infertility assess the clinical value of three-dimensiona Methods One hundred and four patients with hysterosalpingo-contrast sonography （3D Hy- nfertility underwent 3D HyCoSy examination. A- coustic contrast agent was injected into the cavity of uterus through the double cavity catheter. Three-dimensional transvaginal ultrasound techniques and continued real-time two-dimensional observation was performed to assess the fallopian tubes. Two cases were examined by laparoscopy and 30 cases were also examined by hysterosalpingography （ HSG ） later. Results The 3D HyCoSy findings showed bilateral patency in 56 cases, bilateral obstruction in 10 cases, bilateral partial obstruction in 8 cas- es; unilateral obstruction in 18 cases and unilateral partial obstruction in 12 cases. The 3D HyCoSy results were consistent with laparoscopic findings in 2 patients. In 30 patients who also received HSG examinations, the consistence rates for Fallopian tube patency, blocked Fallopian tubes and Fallopian tube obstruction were 100%, 50% and 67%, respectively Transvaginal 3D HyCoSy can accurately display the fallopian tube space conditions and fallopian tube patency, wh used as a new first-line examination for screening of infertility patients.

关 键 词：三维 子宫输卵管超声造影 经阴道超声 不孕症 

分 类 号：R816.91[医药卫生—放射医学]