Kdous Moez
Service de gynécologie obstétrique, Centre hospitalier interoommunal de Créteil, France.
Tunis Med. 2006 Aug;84(8):520-5.
A major cause of infertility in women is occlusion of fallopian tubes. Hysterosalpingography (HSG) and laparoscopic chemoperturbation are the two traditionnal diagnostic options for tubal assessment. Recently hysterosalpingo-contrast sonography (HyCoSy), an ultrasound-based technique that uses as a contrast agent fluid injected into the fallopian tubes via the uterine cavity, is gaining importance as an alternative procedure. The aim of this study is the analysis of several technic and semiologic aspects of HyCoSy.
advantges and limits are discussed throughout a review of literature. HyCoSy is a well tolerated outpatient technique. When performed by experienced operators, it servs as a valable first line screening test of tubal patency in low fertility women. It can confirme that tubes are patent and permits to select patients who need more invasive procedures.
女性不孕的一个主要原因是输卵管堵塞。子宫输卵管造影术(HSG)和腹腔镜化学扰动是输卵管评估的两种传统诊断方法。最近,子宫输卵管造影超声检查(HyCoSy),一种基于超声的技术,通过子宫腔向输卵管内注入液体作为造影剂,正作为一种替代方法变得越来越重要。本研究的目的是分析HyCoSy的几个技术和影像学方面。
通过文献综述讨论了其优点和局限性。HyCoSy是一种耐受性良好的门诊技术。由经验丰富的操作人员进行时,它可作为低生育力女性输卵管通畅性的有效一线筛查试验。它可以确认输卵管通畅,并允许选择需要更具侵入性手术的患者。