【论著】阴道彩超引导下输卵管通液术在不孕症中的应用

  08-12-31  

姚亚娟1吴春燕1朱幸洁2司玉雯2
摘要目的探讨阴式彩超监视下输卵管通液术对输卵管通畅与否的诊断价值。方法应用彩色二维声像图观察61例继发性不孕症患者注入药液时，宫腔充盈大小、形态、宫腔液体流动的方向，双侧输卵管距伞端情况及盆腔液体弥散的变化，并对注入药液时阻力大小的频谱波形及液体流动时频谱的连续性来分析输卵管的变化。结果61例不孕症患者中，输卵管不通者8例，通而不畅者32例分别占13.1%与52.5%，术后无1例感染。结论阴式彩超下输卵管通液术不仅仅是一种诊断技术，还是一种消炎疏通的治疗手段，安全可靠。
关键词阴式彩超输卵管通液术不孕症
The Application of Vaginal Ultrasonography (US) Guiding Fallopian Tubal Cannulation in the Infertility Tredtment
YAO Ya?juanWU Chun?yanZHU Xing?jieSI Yu?wen
ABSTRACTObjectiveTo study the diagnostic value of vaginal US in the fallopian tubal cannulation by monitoring tubal patency. Methods61 cases of secondary infertility females were underwent the fallopian tubal cannulation under the close surveillance of vaginal US during the procedures. We inspected 2D color sonographies after the drug had been successfully delivered into the uterine and fallopian tube, the resuts showed that the volume, the contour of the uterine, the fluid dynamics in the uterine, the volume and contour of the distal fallopian tubes on both sides and fluid spread patterns in the pelvic cavity. We also use pulse Doppler effects to analyze the resistance and fluid dynamic spectrum after the drugs had been injected into the uterine, which is also used to detect the anatomical changes in fallopian tubes. ResultsWe categorize fallopian tubal patency into three classes: complete patency, incomplete patency and complete occlusion according to the observations by vaginal US. These will provide the diagnostic criteria to the clinicians. ConclusionThe application of vaginal ultrasonography in guidance of fallopian tubal cannulation is a safe and reliable procedure and to be a helpful diagnostic and treatment tools with cannulation procedure.
KEY WORDSVaginal ultrasonographyFallopian tubal cannulationInfertility