Assessment of tubal fimbria patency by combination of transvaginal four-dimensional hysterosalpingo-contrast sonography with uterine tubal liquid poking
10.3760/cma.j.issn.1004-4477.2017.08.013
- VernacularTitle:经阴道四维超声造影联合宫腔通液术评价输卵管伞端通畅性的研究
- Author:
Weiqun WANG
1
;
Qiulan ZHOU
;
Yuewei LI
;
Yafei GONG
;
Zhiyi CHEN
;
Zaihong LI
Author Information
1. 510150,广州医科大学附属第三医院超声医学科
- Keywords:
Ultrasonography,three-dimensional;
Hysterosalpingography;
Fallopian tubal patency tests
- From:
Chinese Journal of Ultrasonography
2017;26(8):698-702
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of combination of transvaginal fourdimensional hysterosalpingo-contrast sonography(TVS 4D-HyCoSy) with uterine tubal liquid poking in assessment tubal fimbria patency.Methods Sixty-two female infertile patients with obstruction at tubal fimbria,or partial obstruction with pelvic adhesion were included.All of them were underwent 4D-HyCoSy as well as uterine tubal liquid poking,and were followed with laparoscopic chromopertubation (LPC) using Methylene blue in three months.Results Comparing with laparoscopy,the total coincidence rate of 4D-HyCoSy to assess the tubal fimbria patency was 94.3％,with the sensitivity of 90.1％ and specificity of 94.1 ％.Imaging results showed that the obstruction at tubal fimbria,uncircle-like wrapping contrast medium can be seen around ovary accounted for 80％.The patent fallopian tube fimbria,circle-like wrapping of contrast medium can be observed around ovary accounted for 85.5 ％.Conclusions The combination of TVS 4D-HyCoSy with uterine tubal liquid poking is highly in accordance with LPC by providing real-time dynamic visualization on overflowing of contrast medium from tubal fimbria,as well as the pelvic adhesion surrounding ovaries.The 4D-HyCoSy can be the preferred method for assessment of tubal fimbria patency and pelvic adhesion surrounding ovaries with its advantages of accuracy,non invasion and a good safety profile.
