Killick S R
Department of Obstetrics and Gynaecology, Princess Royal Hospital, Hull, UK.
J R Soc Med. 1999 Dec;92(12):628-31. doi: 10.1177/014107689909201206.
The most informative method for assessing tubal patency in subfertile women is laparoscopy-and-dye. This investigation, however, puts a large burden on services and a screening test is needed that identifies a high likelihood of occlusion. In our infertility programme we introduced hysterosalpingo contrast sonography for this purpose, operated entirely by ultrasonographers. A series of audits indicated that this innovation speeded the process of investigation by several weeks and reduced the number of laparoscopy-and-dye procedures by 75%. The negative predictive value was 89% and the positive predictive value was 44%. The main limitation of the method was the long period required for training, in those without extensive experience of vaginal ultrasonography.
评估不孕女性输卵管通畅性最具信息量的方法是腹腔镜检查及输卵管通液造影。然而，这项检查给医疗服务带来了巨大负担，因此需要一种筛查试验来确定输卵管堵塞的高可能性。在我们的不孕治疗项目中，我们为此引入了子宫输卵管造影超声检查，该检查完全由超声检查人员操作。一系列审计表明，这项创新将检查过程加快了数周，并将腹腔镜检查及输卵管通液造影的操作数量减少了75%。阴性预测值为89%，阳性预测值为44%。该方法的主要局限性在于，对于那些没有丰富阴道超声检查经验的人来说，培训所需时间较长。
