国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (3): 217-220.

• 综述 • 上一篇    下一篇

输卵管超声造影的临床实践

香钰婷，白文佩   

  1. 100034 北京大学第一医院妇产科（香钰婷）；北京世纪坛医院妇产科（白文佩）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-05-15 发布日期:2016-05-15
  • 通讯作者: 白文佩

Clinical Practice in Ultrasonography of Fallopian Tube

XIANG Yu-ting，BAI Wen-pei   

  1. Department of Obstetrics and Gynecology, Peking University First Hospital，Beijing 100034，China（XIANG Yu-ting）；Department of Obstetrics and Gynecology, Beijing Shijitan Hospital，Beijing 100038，China（BAI Wen-pei）
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-05-15 Online:2016-05-15
  • Contact: BAI Wen-pei

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摘要： 目前，不孕症的发病率越来越高。对于因不孕症就诊的女性，输卵管通畅性检查是必不可少的环节。诊断输卵管通畅性的“金标准”是腹腔镜下美蓝通液术，目前一线检查方法是子宫输卵管造影（HSG）。但腹腔镜下美蓝通液术需住院在全身麻醉下进行，HSG又存在碘过敏、放射线暴露等风险，因此学者们一直致力于研究输卵管超声造影技术。目前常见的输卵管超声造影技术包括盐水灌注超声造影（SIS）、子宫输卵管超声造影（HyCoSy）、子宫输卵管超声泡沫造影（HyFoSy）等，尤其以HyCoSy应用最广。与传统的腹腔镜下美蓝通液术及HSG相比，HyCoSy诊断效果可靠，操作过程简便，耐受性好，又避免了上述缺点，有望成为评估输卵管通畅性的一线方法。

关键词: 不育, 女（雌）性, 输卵管疾病, 腹腔镜检查, 输卵管

Abstract: Nowadays, the prevalence of infertility is increasing. For infertile women, it is necessary to assess tubal patency. The gold standard of tubal patency assessment is laparoscopy with chromopertubation (LC). Hysterosalpingography (HSG), the most widely used technique, may cause iodine allergy and radiation exposure. Therefore, ultrasonography is expected as an alternative method of tubal patency assessment. At present, ultrasonography of fallopian tube consists of saline-infusion sonography (SIS), hysterosalpingo-contrast sonography (HyCoSy) and hysterosalpingo-foam sonography (HyFoSy), and HyCoSy is the most commonly used. Compared to traditional LC and HSG, HyCoSy shows accuracy and convenience while avoiding hospitalization, general anesthesia, radiation and iodine allgery, which makes it a promising technique in the future.

Key words: Infertility, female, Fallopian tube diseases, Laparoscopy, Fallopian tubes