Van Voorhis Bradley J
Department of Obstetrics & Gynecology, University of Iowa Hospitals, Iowa City, Iowa 52242, USA.
Semin Reprod Med. 2008 May;26(3):232-40. doi: 10.1055/s-2008-1076142.
In addition to the history and physical exam, the traditional evaluation of an infertile couple has included assessment of tubal patency, semen analysis, and assessment of ovulation. This article will assess the role of transvaginal ultrasound imaging of the uterus and fallopian tubes in infertile women either as an additional diagnostic test or as an aid to infertility treatment cycles. Transvaginal ultrasonography has become very sensitive, allowing for the detection of uterine lesions that otherwise might be missed. Understanding and interpreting the significance of the lesions is a major clinical challenge in the infertile patient.
除病史和体格检查外,对不孕夫妇的传统评估还包括输卵管通畅性评估、精液分析和排卵评估。本文将评估经阴道子宫和输卵管超声成像在不孕女性中的作用,它既作为一项额外的诊断检查,也作为不孕治疗周期的辅助手段。经阴道超声检查已变得非常敏感,能够检测出其他检查可能遗漏的子宫病变。理解和解释这些病变的意义是不孕患者面临的一项重大临床挑战。