Malek-Mellouli Monia, Gharbi H, Reziga H
Tunis Med. 2013 Jun;91(6):387-90.
Tubal pathology is one of the main causes of infertility. In the routine fertility work-up, our ability to evaluate tubal function is limited to tubal patency and peritubal adhesions.
To assess the value of sonohysteroography (SHG) in evaluation of tubal patency in infertile patients and to compare its results with hysterosalpingography and laparoscopy. methods: In this prospective study, 40 consecutive women were underwent three methods of exploration of tubal patency: hysterosalpingography, sonohysteroography and laparoscopy with dye test, within a period of 6 months.
The Mean age of our patients was 32 ± 5 years. Of the 40 women who were recruited, 30 had primary and 10 had secondary infertility. Altogether 80 tubes were exanimated by these 3 methods. Sonosalpingography showed patency in 51(63.7%) tubes, hysterosalpingography in 47 (58.7%) tubes, and laparoscopy in 52 (65%) tubes. Sonosalpingography and laparoscopy agreed in 70 out of 80 tubes (concordance, 87.5%). As regards the appearance of the right and left tubes, the results of sonohysterography agreed with laparoscopy in 75% and 87.5%, respectively, while HSG agreed with laparoscopy in 64% and 54% respectively.
SHG is useful in the assessment of tubal patency and its implication in the fertility workup as a simple and fast procedure can minimize costes and abus of sophisticated techniques.
输卵管病变是不孕症的主要原因之一。在常规的生育检查中，我们评估输卵管功能的能力仅限于输卵管通畅性和输卵管周围粘连情况。
评估子宫输卵管超声造影（SHG）在评估不孕患者输卵管通畅性方面的价值，并将其结果与子宫输卵管造影和腹腔镜检查结果进行比较。
在这项前瞻性研究中，40名连续入选的女性在6个月内接受了三种输卵管通畅性检查方法：子宫输卵管造影、子宫输卵管超声造影和腹腔镜下染料试验。
我们患者的平均年龄为32±5岁。在招募的40名女性中，30名患有原发性不孕，10名患有继发性不孕。这三种方法共检查了80条输卵管。子宫输卵管超声造影显示51条（63.7%）输卵管通畅，子宫输卵管造影显示47条（58.7%）输卵管通畅，腹腔镜检查显示52条（65%）输卵管通畅。80条输卵管中有70条（一致性为87.5%）子宫输卵管超声造影和腹腔镜检查结果一致。关于左右输卵管的情况，子宫输卵管超声造影结果与腹腔镜检查结果在右侧输卵管的一致性为75%，在左侧输卵管的一致性为87.5%，而子宫输卵管造影与腹腔镜检查结果在右侧输卵管的一致性分别为64%，在左侧输卵管的一致性为54%。
子宫输卵管超声造影在评估输卵管通畅性以及在生育检查中的应用方面是有用的，因为作为一种简单快速的检查方法可以将成本降至最低，并避免过度使用复杂技术。
