手振微气泡子宫输卵管声学造影的临床应用

目的 探讨手振微气泡子宫输卵管声学造影的临床应用价值.方法 分析89例手振微气泡子宫输卵管声学造影与单管输卵管通水的超声表现、手术所见及随访情况.结果 手振微气泡子宫输卵管声学造影对输卵管的显示率为100%,89例中双侧输卵管通畅32例,一侧通畅12例,双侧输卵管不通畅21例,双侧输卵管通而不畅13例,一侧输卵管通而不畅11例.单管输卵管通水对输卵管的显示率仅为26.9%.结论 手振微气泡子宫输卵管声学造影较单管输卵管通水的声像图清晰,能全部达到对输卵管的显示,是目前诊断输卵管阻塞性不孕症的一种行之有效的方法 .

The clinical application of sonohysterography with hand-agitated microbubbles

Objective To discuss the clinical application value of sonohysterography with hand-agitated microbubbles. Methods Sonohysterography with hand-agitated microbubbles and single way hydrotubation were performed on 89 cases and the results were compared with operation findings and follow up. Results The display rate of the hand-agitated hysterosalpingography microbubbles to the fallopian tube was 100%. Of the 89 cases, double side fallopian tube patency were 32 , one side patency were 12, double side fallopian tube blocked were 21 (the microbubbles couldn't go through double side patent fallopian tubes very well in 13, while they couldn't go through one side patent fallopian tube very well in 11). The display rate of the single way hydrotubation to the fallopian tube was 26.9%. Conclusion Sonohysterography with hand-agitated microbubbles is more clear than hydrotubation by ultrasonic guidance, and it can display all the fallopian tubes. It is a good method to diagnose barrenness with fallopian tube obstruction.