经阴道子宫输卵管四维超声造影评估输卵管的通畅性  

Transvaginal four-dimensional hysterosalpingo-contrast sonography in evaluating the patency of fallopian tubes

作　　者：程琦[1] 王莎莎[1] 朱贤胜[1] 王泓[1] 凌茵[1] 张迎[1] 周敏 

机构地区：[1]广州军区广州总医院超声影像科,广东广州510010 [2]GE医疗,广东广州510000

出　　处：《中国医学影像技术》2013年第3期455-458,共4页Chinese Journal of Medical Imaging Technology

基　　金：广东省卫生厅基金(B2011259)

摘　　要：目的探讨经阴道子宫输卵管四维超声造影(TVS 4D-HyCoSy)评价输卵管通畅性的可行性。方法选择不孕症患者179例,采用SonoVue造影剂,进行TVS 4D-HyCoSy,通过四维重建技术实时观察造影剂在宫腔及输卵管腔内流动过程,判断输卵管的通畅性。结果 179例共351条输卵管,超声造影显示输卵管通畅126条,输卵管通而不畅148条,输卵管阻塞77条。结论经阴道子宫输卵管四维超声造影对输卵管显像清晰,能观察宫腔及输卵管的形态结构、空间走行,并评价输卵管的通畅情况,安全、经济、无不良反应,可作为临床不孕症患者输卵管通畅性的一种筛选方法,具有较高的推广应用前景。Objective： To explore the feasibility of transvaginal four-dimensional hysterosalpingo-contrast sonography （TVS 4D-HyCoSy） in diagnosis the patency of fallopian tubes. Methods： Totally 179 patients underwent SonoVue TVS 4D-HyCoSy. Real-time assessment of tubal patency was conducted by monitoring motion of contrast agent in the endometrial cavity and tubal lumen. Results： There were 351 oviducts of 179 patients, and 126 oviducts were unobstructed, 77 were obstructed, 148 were partially passable.Conclusion： TVS 4D-HyCoSy is able to show the morphological structure and shape of uterine tube, and can identify tubal twisting and sites of tubal stenosis and obstruction. This technique might become a safe and effective method without untoward effect to diagnose the tubal obstruction in patients with infertility with high popularization prospects.

关 键 词：子宫输卵管造影术 输卵管 不育 女性 

分 类 号：R711.6[医药卫生—妇产科学] R445.1[医药卫生—临床医学]