Department of Obstetrics and Gynecology, Urmia University of Medical Sciences, Urmia, Iran.
J Ultrasound Med. 2009 Dec;28(12):1671-7. doi: 10.7863/jum.2009.28.12.1671.
Infertility is defined as the failure to conceive after 1 year of regular unprotected intercourse. It affects 10% to 15% of couples. Sonohysterography (SHG) is an accurate method for the assessment of fallopian tube patency, reflected in its high positive predictive value compared with hysterosalpingography (HSG) and laparoscopy with chromopertubation. In this study, our goal was to determine the diagnostic value of SHG for the diagnosis of bilateral tubal obstruction by comparison of SHG with HSG and laparoscopic results.
This study was based on the evaluation of tubal patency by SHG and by the combination of HSG and laparoscopy in 40 patients. All patients underwent HSG as a routine infertility workup, and all patients with bilateral proximal tubal obstruction diagnosed by HSG subsequently underwent SHG.
Among 1024 infertile women referred to an infertility clinic, 117 (11.4%) had a diagnosis of a tubal factor as the cause of their infertility. Forty-two patients with HSG findings of bilateral proximal tubal obstruction were enrolled. Forty patients underwent SHG. In 32 patients (80%), at least 1 fallopian tube was patent, and 8 patients (20%) were reported to have bilateral tubal obstruction. Those 8 patients with SHG evidence of bilateral tubal obstruction underwent laparoscopy. Eventually, 6 of those were laparoscopically confirmed to have bilateral tubal obstruction.
Sonohysterography is an accurate method for the determination of fallopian tube patency. It is a simple, safe, and well-tolerated technique with a low risk of adverse effects and severe complications.
不孕定义为在 1 年无保护的规律性交后仍未能怀孕。它影响 10%-15%的夫妇。子宫输卵管超声造影（SHG）是评估输卵管通畅性的一种准确方法，其阳性预测值高于子宫输卵管造影（HSG）和腹腔镜下输卵管插管。在这项研究中，我们的目标是通过与 HSG 和腹腔镜结果的比较，确定 SHG 对双侧输卵管阻塞的诊断价值。
本研究基于 40 例患者的 SHG 和 HSG 联合腹腔镜检查评估输卵管通畅性。所有患者均行 HSG 作为常规不孕检查，所有 HSG 诊断双侧近端输卵管阻塞的患者随后行 SHG。
在因不孕就诊于不孕诊所的 1024 名女性中，有 117 名（11.4%）被诊断为输卵管因素导致不孕。42 例 HSG 结果显示双侧近端输卵管阻塞的患者被纳入研究。40 例患者接受了 SHG。在 32 例患者（80%）中，至少有 1 条输卵管通畅，8 例患者（20%）被报告为双侧输卵管阻塞。这 8 例 SHG 显示双侧输卵管阻塞的患者接受了腹腔镜检查。最终，其中 6 例腹腔镜下证实为双侧输卵管阻塞。
子宫输卵管超声造影是一种确定输卵管通畅性的准确方法。它是一种简单、安全、耐受良好的技术，不良反应和严重并发症的风险低。
