Campbell S, Bourne T H, Tan S L, Collins W P
Department of Obstetrics and Gynaecology, King's College School of Medicine and Dentistry, London, UK.
Ultrasound Obstet Gynecol. 1994 May 1;4(3):245-53. doi: 10.1046/j.1469-0705.1994.04030245.x.
An important part of any protocol for investigation of the infertile couple is the assessment of Fallopian tube patency in the woman, as this can influence the future course of treatment. X-ray hysterosalpingography and laparoscopy and dye tubation are currently the main procedures for investigating tubal patency, but the recent development of hysterosalpingo contrast sonography (HyCoSy) may offer some benefits over these two methods. HyCoSy involves a transvaginal ultrasound investigation of the Fallopian tubes both before and after the injection of an echo-enhancing agent into the tubes via the uterine cavity. Evidence of tubal flow with B-mode scanning is indicative of tubal patency. Clinical data using the echo-enhancing agent, Echovist, in over 600 patients, in addition to technical aspects of the HyCoSy procedures are reviewed. The data presented indicate that the sensitivity and specificity of HyCoSy compare favorably with the current 'gold standard' techniques. HyCoSy is a safe, well-tolerated and relatively inexpensive procedure, which can be carried out in a short time during an outpatient consultation. Combining these undoubted benefits with the clinical results obtained to date would indicate that HyCoSy has the potential to be employed as a reliable and well-accepted procedure for assessing tubal patency as part of the investigation of infertility.
对不孕夫妇进行调查的任何方案的一个重要部分是评估女性的输卵管通畅情况，因为这会影响未来的治疗进程。子宫输卵管造影X线检查、腹腔镜检查及输卵管通液术是目前检查输卵管通畅性的主要方法，但子宫输卵管超声造影（HyCoSy）的最新进展可能比这两种方法具有一些优势。HyCoSy包括经阴道超声检查输卵管，即在通过子宫腔向输卵管内注入回声增强剂之前和之后进行检查。B超扫描显示有输卵管内液体流动则表明输卵管通畅。本文回顾了使用回声增强剂Echovist对600多名患者进行检查的临床资料，以及HyCoSy检查的技术方面。所呈现的数据表明，HyCoSy的敏感性和特异性与当前的“金标准”技术相比具有优势。HyCoSy是一种安全、耐受性良好且相对便宜的检查方法，可在门诊咨询期间短时间内完成。将这些无疑的优势与迄今获得的临床结果相结合表明，HyCoSy有潜力作为一种可靠且被广泛接受的评估输卵管通畅性的方法，作为不孕症调查的一部分。
