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 (2): 151-154.

• 综述 • 上一篇    下一篇

超声影像学诊断输卵管通畅性的临床应用进展

香钰婷，白文佩   

  1. 100034 北京大学第一医院（香钰婷）；首都医科大学附属北京世纪坛医院（白文佩）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-03-15 发布日期:2016-03-15
  • 通讯作者: 白文佩

Diagnosis of Tubal Patency by Ultrasonic Tomography: Clinical Application and Progress

XIANG Yu-ting，BAI Wen-pei   

  1. Peking University First Hospital，Beijing 100034，China（XIANG Yu-ting）；Beijing Shijitan Hospital，Capital Medical University，Beijing 100038，China（BAI Wen-Pei）
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-03-15 Online:2016-03-15
  • Contact: BAI Wen-pei

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摘要： 因不孕症就诊的女性中，有25%～35%存在输卵管病变。对输卵管通畅的检查和评估是不孕症治疗的常规方法。评估输卵管通畅性的方法包括：X线子宫输卵管造影（HSG）、腹腔镜下美蓝通液术（LC）、经阴道超声（TVS）、盐水灌注超声造影（SIS）和子宫输卵管四维超声造影（4D-HyCoSy）。HSG目前应用广泛，结果较可靠，但其假阳性率较高，且存在射线暴露和碘过敏的风险。LC是诊断的“金标准”，但为有创操作，费用高，临床应用受到限制。TVS和SIS的诊断价值有限，临床上较少应用。4D-HyCoSy诊断准确，操作便捷、无创，又可避免碘过敏、射线暴露、肺栓塞等风险，与传统方法相比，具有较显著的优越性。

关键词: 不育, 女（雌）性, 输卵管阻塞, 子宫输卵管造影术, 子宫输卵管四维超声造影

Abstract: About 25%-35% of female infertility are involved in tubal factors. The examination of oviduct patency is a clinical routine for the diagnosis of female infertility. The diagnostic techniques by ultrasonic tomography include: hysterosalpingography(HSG), laparoscopy with chromotubation (LC), transvaginal sonography (TVS), saline-infusion sonography (SIS) and 4-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy). HSG is widely used with relatively high accurate diagnosis but also high false positive rate, and X-Ray exposure. Although LC was considered as a "gold standard", LC is a invasive and expensive diagnosis. TVS and SIS have been rarely used because of their limited value in diagnosis. The 4D-HyCoSy not only enjoys accuracy and convenience, but also avoids risks like iodine allergy, radiation and pulmonary embolism.

Key words: Infertility, female, Fallopian tube obstruction, Hysterosalpingography, 4-dimensional hysterosalpingo-contrast sonography