超声造影在评价输卵管通畅性中的应用价值

Application Value of Contrast-Enhanced Ultrasound in Evaluating Tubal Patency

目的探讨声诺维（SonoVue）子宫输卵管超声造影在评价输卵管通畅性中的临床应用价值。方法选择2012年1月～2013年6月在我院就诊的输卵管性不孕症患者43例,行子宫输卵管常规超声检查及超声造影检查,观察、比较通液前后输卵管通畅情况、输卵管全程显影时间,并对上述情况进行评估。结果输卵管造影显示一侧通而不畅另一侧通畅17例,双侧梗阻6例,一侧梗阻另一侧通而不畅13例,双侧通而不畅7例;通液治疗后输卵管通畅情况：一侧通而不畅另一侧通畅21例,双侧梗阻2例,一侧梗阻另一侧通而不畅9例,双侧通而不畅5例,双侧通畅6例。结论应用声诺维进行子宫输卵管超声造影检查,可明确输卵管的通畅性,此方法简便易行、费用低,具有推广应用价值。

Objective To investigate the clinical application value of contrast-enhanced ultrasound with SonoVue in evaluating tubal patency. Methods 43 patients with tubal infertility treated from January 2012 to June 2013 in our hospital were examined with routine ultrasound and uterine tubal contrast-enhanced ultrasound. The patency of oviducts as well as the whole oviduct development time before and after hydrotubation were observed and compared. Results The results of uterine tubal contrast-enhanced ultrasound before hydrotubation showed that one side of oviducts was incompletely unobstructed and the other side of oviducts was unobstructed in 17 cases, both sides of oviducts were blocked in 6 cases, one side of oviducts was blocked and the other side of oviducts was incompletely unobstructed in 13 cases, both sides of oviducts were incompletely unobstructed in 7 cases. The results of uterine tubal contrast-enhanced ultrasound after hydrotubation showed that one side of oviducts was incompletely unobstructed and the other side of oviducts was unobstructed in 21 cases, both sides of oviducts were blocked in 2 cases, one side of oviducts was blocked and the other side of oviducts was incompletely unobstructed in 9 cases, both sides of oviducts were incompletely unobstructed in 5 cases, both sides of oviducts were unobstructed in 6 cases. Conclusion Uterine tubal contrast-enhanced ultrasound with SonoVue which could evaluate the tubal patency clearly with simple operation method and low cost should be promoted in clinic.