输卵管妊娠高强度聚焦超声治疗后输卵管通畅性的超声晶氧造影研究

Assessment of the effects of the high intensity focused ultrasound treatment on tubal pregnancy by Pro-Drug-Carbamide Peroxide for ultrasonic contrast

目的应用超声晶氧造影的方法观察高强度聚焦超声(HIFU)治疗输卵管妊娠后输卵管的通畅性,对其预后做出评价。方法用1%的晶氧造影剂对33例HIFU治疗后的输卵管妊娠患者进行B-flow模式超声监控下输卵管造影,观察患侧输卵管的通畅性。结果33例输卵管妊娠患者,经HIFU治疗后患侧输卵管通畅25例(76%),6例通而不畅(18%),2例阻塞(6%,其中1例附件区可见包块)。结论超声晶氧造影发现,HIFU治疗后输卵管的通畅性较好。此造影方式是一种评价HIFU治疗输卵管妊娠后输卵管通畅情况的较佳方式。

Objective To evaluate the prognosis of patients after high intensity focused ultrasound treatment on tubal pregnancy with cartamide peroxide hysterosalpingography.Methods 1% carbamide peroxide was injected for hysterosalpingography in 33 cases after HIFU treatment of tubal pregnancy. B - flow imagine was applied in the process. Results In 33 cases, 25 cases were with tubal patency, 6 cases were with partial obstruction, 2 cases were with obstruction （a mass in one adnexa uterine was found in 1 case）. Conclusion Evaluated by carbamide peroxide hysterosalpingography, most tubal are unobstructed after HIFU treatment.