中华医学超声杂志（电子版）
中華醫學超聲雜誌（電子版）
중화의학초성잡지（전자판）
CHINESE JOURNAL OF MEDICAL ULTRASOUND(ELECTRONICAL VISION)
2014年
1期
32-37
,共6页
何冠南%杨家翔%袁桃%严雲
何冠南%楊傢翔%袁桃%嚴雲
하관남%양가상%원도%엄운
超声检查%造影剂%子宫%输卵管疾病%不育,女(雌)性
超聲檢查%造影劑%子宮%輸卵管疾病%不育,女(雌)性
초성검사%조영제%자궁%수란관질병%불육,녀(자)성
Ultrasonography%Contrast media%Uterus%Fallopian tube diseases%Infertility,female
目的：探讨经阴道四维超声造影（4D-HyCoSy）在输卵管通畅性评价中的应用价值。方法采用SonoVue造影剂对53例不孕患者行经阴道子宫输卵管四维超声造影检查，动态观察输卵管通畅性。结果53例患者106条输卵管四维超声造影显示输卵管通畅47条，输卵管通而不畅36条，输卵管不通畅23条。超声造影表现：（1）输卵管通畅15例，输卵管走形柔顺，造影剂喷射状进入盆腔，并在盆腔内迅速弥散；（2）输卵管通而不畅12例，输卵管显影不连续，局部纤细或增粗，造影剂溢入盆腔，在盆腔内弥散不均匀；（3）输卵管不通畅6例，双侧输卵管不显影或仅某段显影。与腹腔镜检查结果对照，超声造影诊断输卵管通畅性的符合率为94%（17/18）。结论经阴道子宫输卵管四维超声造影可动态显示子宫、输卵管形态，诊断宫腔粘连及宫腔占位性病变，并评价输卵管的通畅情况。
目的：探討經陰道四維超聲造影（4D-HyCoSy）在輸卵管通暢性評價中的應用價值。方法採用SonoVue造影劑對53例不孕患者行經陰道子宮輸卵管四維超聲造影檢查，動態觀察輸卵管通暢性。結果53例患者106條輸卵管四維超聲造影顯示輸卵管通暢47條，輸卵管通而不暢36條，輸卵管不通暢23條。超聲造影錶現：（1）輸卵管通暢15例，輸卵管走形柔順，造影劑噴射狀進入盆腔，併在盆腔內迅速瀰散；（2）輸卵管通而不暢12例，輸卵管顯影不連續，跼部纖細或增粗，造影劑溢入盆腔，在盆腔內瀰散不均勻；（3）輸卵管不通暢6例，雙側輸卵管不顯影或僅某段顯影。與腹腔鏡檢查結果對照，超聲造影診斷輸卵管通暢性的符閤率為94%（17/18）。結論經陰道子宮輸卵管四維超聲造影可動態顯示子宮、輸卵管形態，診斷宮腔粘連及宮腔佔位性病變，併評價輸卵管的通暢情況。
목적：탐토경음도사유초성조영（4D-HyCoSy）재수란관통창성평개중적응용개치。방법채용SonoVue조영제대53례불잉환자행경음도자궁수란관사유초성조영검사，동태관찰수란관통창성。결과53례환자106조수란관사유초성조영현시수란관통창47조，수란관통이불창36조，수란관불통창23조。초성조영표현：（1）수란관통창15례，수란관주형유순，조영제분사상진입분강，병재분강내신속미산；（2）수란관통이불창12례，수란관현영불련속，국부섬세혹증조，조영제일입분강，재분강내미산불균균；（3）수란관불통창6례，쌍측수란관불현영혹부모단현영。여복강경검사결과대조，초성조영진단수란관통창성적부합솔위94%（17/18）。결론경음도자궁수란관사유초성조영가동태현시자궁、수란관형태，진단궁강점련급궁강점위성병변，병평개수란관적통창정황。
Objective To explore the clinical value of transvaginal four-dimensional hysterosalpingo-contrast sonography (TVS 4D-HyCoSy)in evaluation of the patency of fallopian tubes. Methods Totally 53 patients underwent SonoVue TVS4D-HyCoSy to observe the tubal patency. Results Among the 106 tubes in 53 patients, TVS 4D-HyCoSy showed 47 unobstructed tubes, 23 obstructed tubes, and 36 partially passable tubes. In unobstructed cases, the fallopian tubes were smooth and regular in morphology, and contrast agents flowed into and dispersed over pelvic cavity rapidly and evenly. In the cases of partially passable tube, fallopian tubes were discontinuous and irregular in morphology, and contrast agents lfowed into and dispersed over pelvic cavity slowly and unevenly. In obstructed cases, there were no or little contrast agents into the fallopian tubes. Compared with the results of laparoscopy, the diagnostic accuracy of TVS 4D-HyCoSy was 94.4%(17/18). Conclusions TVS 4D-HyCoSy is a useful tool in demonstrating the morphological features of fallopian tube, diagnosing intrauterinc adhesion and lesion and assessing the tubal patency.
