经阴道三维输卵管超声造影在不孕症诊断中的应用

Three-dimensional Transvaginal Ultrasound Fallopian Tube Imaging in Infertility Diagnosis

目的:探讨经阴道三维超声造影对不孕症的诊断和治疗方法。方法:对20例不孕症患者,采用SonoVue作为造影剂,行经阴道三维超声监视下输卵管超声造影加药物治疗,并与腹腔镜检查结果进行对照证实。结果:3D-HyCoSy与腹腔镜检查结果对照,结果18例完全符合,诊断符合率90%,10例达到治疗目的,有效率为50%。结论:利用SonoVue超声造影剂进行经阴道三维输卵管造影具有简便易行,安全、无创、无辐射、高效等优点,对不孕症的诊断有较高的价值,并有良好的治疗效果。

Objective： To investigate the three-dimensional transvaginal ultrasound fallopian tube imaging in the diagnosis and treatment of infertility. Methods： Twenty patients with infertility were conducted the uhrasound fallopian tube imaging and medicine treatment under three-dimensional transvaginal ultrasound surveillance with contrasl agent of SonoVue. The results were compared with those of laparoscopy. Results： Compared with laparoscopic findings, 18 cases were correctly diagnosed with 3D-HyCoSy method, the accuracy rate was 90%. Ten patients reached therapeutic purpose, the effective rate was 50%. Conclusion： The application of ultrasound contrast agent SonoVue in three dimensional transvaginal hysterosalpingography was simple, safe, non-invasive, and non-radiate, and highly efficient. This method was helpful for the diagnosis and therapeutic effect of infertility.