The application value in the evaluation of the patency of the fallopian tube by three-dimensional SonoVue-hysterosalpingo-contrast sonography
- VernacularTitle:三维超声造影在评估输卵管通畅性中的应用分析
- Author:
Caicha YU
1
;
Xujuan SHUI
;
Yan JIAO
;
Yuanyuan LIN
;
Yeping WANG
;
Xiuli WANG
Author Information
1. 浙江省温州市人民医院 温州医科大学第三临床医院妇科B超室
- Keywords:
Three-dimensional;
Fallopian tubes;
Hysterosalpingography;
Infertility
- From:
China Modern Doctor
2014;(24):56-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical value of three-dimensional hysterosalpingo-contrast sonography (3D Hy-CoSy)in patients with tubal infertility. Methods A total of 274 patients with infertility(totally 539 the fallopian tubes)from September 2011 to March 2013 in our hospital,all patients were choose 3~7 days after menstruation clean,Transvaginal three-dimensional ultrasound imaging by injecting SonoVue through the uterine tube,with dynamic obser-vation of fallopian tube in imaging mode,by adopting of transvaginal three-dimensional ultrasound imaging reconstruc-tion technology evaluate tubal patency. The result of transvaginal three-dimension ultrasound imaging among 67 cases were compared with laparoscopic Meilan hydrotubation or X-ray hysterosalpingography (HSG). Results Among 539 oviducts, 230 oviducts were diagnosed patency by HyCoSy,224 oviducts were incompletehy obstructed, and 85 oviducts were completely obstructed among which 7 were hydrosalpinx; 3 out of 274 cases were contrast medium reflux into myometrium and venous plexus nearby; The sensitivity of 3D HyCoSy was 86.67%,which compared with the re-sults of HSG and laparoscopy,specificity was 100%,positive predictive value was 96.30%, negative predictive value was 98.25%. Conclusion 3D-HyCoSy in the diagnosis of fallopian tube patency is simple, safety and effective,fully and accurately displaying the shape of uterine tube . This technique is hopeful to become an effective method to diag-nose patients with tubal infertility.
