超声输卵管盆腔显影术在输卵管性不孕诊断中的应用

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

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,经宫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。

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 goingthrough 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.