国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (1): 111-114.

• 综述 • 上一篇    下一篇

输卵管通畅性检查方法的临床进展

边锦霞,侯静,王胜利   

  1. 716000 延安大学附属医院超声医学科
  • 收稿日期:2019-07-09 修回日期:2019-09-09 出版日期:2020-02-15 发布日期:2020-02-07
  • 通讯作者: 王胜利,E-mail:wsl_678@163.com E-mail:1317151132@qq.com
  • 基金资助:
     

Clinical Progress of Tubal Patency Tests

BIAN Jin-xia, HOU Jing, WANG Sheng-li   

  1. Department of Ultrasound, The Affiliated Hospital of Yan′an University, Yan′an 716000, Shaanxi Province, China
  • Received:2019-07-09 Revised:2019-09-09 Published:2020-02-15 Online:2020-02-07
  • Contact: WANG Sheng-li, E-mail: wsl_678@163.com E-mail:1317151132@qq.com
  • Supported by:
     

摘要: 临床中检查输卵管是否通畅的方法有输卵管通液术、子宫输卵管X线造影(hysterosalpingography,HSG)、子宫输卵管超声造影(hysterosalpingo contrast sonography,HyCoSy)和腹腔镜输卵管通液术检查。输卵管通液术因其盲通、不可视的缺点已较少应用于临床。HSG根据碘油对比剂分布评价输卵管的通畅性,目前是输卵管通畅性检查的首选方法,但会出现对比剂不良反应及辐射损伤。腹腔镜输卵管通液术检查作为输卵管是否通畅的"金标准",因其价格高昂不作为输卵管检查的首选方法。HyCoSy因其实时动态、可视化、无辐射等优点已成为研究热点,随着超声造影剂的发展及低压推注泵和压力监测仪在临床中的应用,HyCoSy有望超越HSG成为输卵管通畅性检查的首选方法。

关键词: 输卵管阻塞, 子宫输卵管造影术, 腹, 腔镜检查, 子宫输卵管超声造影, 输卵管通液术;腹腔镜输卵管通液术

Abstract: Tubal Patency tests include procedures like hydrotubation, hysterosalpingography (HSG), hystero-salpingo contrast sonography (HyCoSy) and laparoscopic hydrotubation. Hydrotubation is seldomly undertaken due to its invisibility. HSG is the first choice of tubal patency test, which evaluates tubal patency based on the distribution of lipiodol contrast. Adverse contrast reactions and radiation injury may occur. As the "gold standard" for tubal patency test, laparoscopic hydrotubation is not our preferred choice due to expensiveness. In recent years, HyCoSy has become a research hotspot because of its real-time dynamic, visualization, radiationless and other advantages. With the development of ultrasound contrast agents and the application of low-pressure injection pump and pressure monitor, HyCoSy is expected to surpass HSG and become the preferred method for tubal patency test.

Key words: Fallopian tube obstruction, Hysterosalpingography, Laparoscopy;Hystero-salpingo contrast sonography, Hydrotubation;Laparoscopic hydrotubation

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