Seshadri S, Khalil M, Osman A, Clough A, Jayaprakasan K, Khalaf Y
Assisted Conception Unit, Guys Hospital, 11th Floor, Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom.
Assisted Conception Unit, Guys Hospital, 11th Floor, Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom.
Eur J Obstet Gynecol Reprod Biol. 2015 Feb;185:66-73. doi: 10.1016/j.ejogrb.2014.11.037. Epub 2014 Dec 4.
Saline infusion sonography (SIS) has become a valuable diagnostic modality in gynaecology over the last three decades. SIS is now commonly employed for detailed evaluation of the uterine cavity as part of pre-treatment assessment in infertile women. The objective of this paper is review the scientific literature on SIS in infertility. Medline, Ovid and Cochrane databases were searched for relevant articles. The indications, technical aspects and the potential advantages of SIS are discussed. The efficacy and sensitivity of SIS are compared to hysteroscopy in the evaluation of uterine polyps, fibroids, intrauterine adhesions and uterine anomalies. Increasing evidence suggests the use of SIS prior to an in-vitro fertilization (IVF) cycle as it has increased sensitivity in the detection of intrauterine pathology. SIS is cost-effective and results in better patient satisfaction scores than hysteroscopy.
在过去三十年中，盐水灌注超声检查（SIS）已成为妇科领域一种有价值的诊断方法。目前，SIS常用于对宫腔进行详细评估，作为不孕女性治疗前评估的一部分。本文的目的是回顾关于SIS在不孕症方面的科学文献。检索了Medline、Ovid和Cochrane数据库中的相关文章。讨论了SIS的适应症、技术方面以及潜在优势。在评估子宫内膜息肉、子宫肌瘤、宫腔粘连和子宫畸形时，将SIS的有效性和敏感性与宫腔镜检查进行了比较。越来越多的证据表明，在体外受精（IVF）周期之前使用SIS，因为它在检测宫腔病变方面具有更高的敏感性。SIS具有成本效益，并且与宫腔镜检查相比，患者满意度得分更高。
