Gleicher N, Parrilli M, Redding L, Pratt D, Karande V
Center for Human Reproduction, Chicago, Illinois 60610.
Fertil Steril. 1992 Dec;58(6):1136-41. doi: 10.1016/s0015-0282(16)55558-7.
To investigate the correlation between opacification and perfusion pressures during hysterosalpingography (HSG) and selective salpingography under the assumption that the latter may add to the diagnostic capabilities of the procedures.
Perfusion pressures were uniformly evaluated by standardizing injection volume per time interval of contrast medium and the delivery system. Pressures were measured in a closed system through a digital manometer and recorded on tracing paper.
Fully ambulatory gynecoradiology suite at academically affiliated infertility center.
Thirty infertility patients.
Hysterosalpingography and selective salpingography for diagnostic purposes.
Correlation between opacification patterns and perfusion pressures.
The evaluation of perfusion pressures during HSG is unreliable because they may be affected by uterine factors and will only reflect the oviduct of least resistance. In contrast, perfusion pressures during selective salpingography are reflective of only the investigated tube. They appear to lie within a functionally normal range of up to 350 mm Hg. Tubes by opacification judged as normal exhibited a pressure range of 429 +/- 376 mm Hg, which was significantly lower than that of abnormally appearing oviducts (957 +/- 445 mm Hg; P = 0.001).
The concomitant performance of perfusion pressure studies during selective salpingography further enhances the diagnostic capability of selective salpingography over HSG in the diagnostic evaluation of fallopian tubes.
在假设选择性输卵管造影术可能增强子宫输卵管造影术（HSG）和选择性输卵管造影术诊断能力的前提下，研究子宫输卵管造影术和选择性输卵管造影术期间造影剂显影与灌注压力之间的相关性。
通过标准化造影剂在每个时间间隔的注射量和输送系统，统一评估灌注压力。压力通过数字压力计在封闭系统中测量，并记录在描图纸上。
学术附属不孕不育中心的全门诊妇科放射科套房。
30例不孕患者。
出于诊断目的进行子宫输卵管造影术和选择性输卵管造影术。
造影剂显影模式与灌注压力之间的相关性。
子宫输卵管造影术期间对灌注压力的评估不可靠，因为它们可能受子宫因素影响，并且仅反映阻力最小的输卵管。相比之下，选择性输卵管造影术期间的灌注压力仅反映所检查的输卵管。它们似乎处于高达350 mmHg的功能正常范围内。经造影剂显影判断为正常的输卵管压力范围为429±376 mmHg，显著低于造影异常的输卵管（957±445 mmHg；P = 0.001）。
在选择性输卵管造影术期间同时进行灌注压力研究，在输卵管的诊断评估中，进一步增强了选择性输卵管造影术相对于子宫输卵管造影术的诊断能力。
