Brundin J, Dahlborn M, Ahlberg-Ahre E, Lundberg H J
Department of Obstetrics and Gynecology, Karolinska Institutet, Danderyd Hospital, Sweden.
Int J Gynaecol Obstet. 1989 Jan;28(1):53-9. doi: 10.1016/0020-7292(89)90544-4.
A clinical method is described and claimed to evaluate the active transportation capacity of the luminal epithelium lining the human uterus and fallopian tube. After intracervical application of technetium-labelled human albumin spheres at 1-2 days before ovulation this radioactivity could be followed by gamma-camera when moved in ad ovarian direction. This method is called radionuclide hysterosalpingography (RN-HSG). The results were compared to the findings at normal hysterosalpingography (HSG). By use of this method it was possible to verify active passage in cases of tubal spasm at HSG, lack of transport in cases of normal patent oviducts at HSG as well as presence or absence of active transport through sactosalpinges with or without fimbrial passages to the abdominal cavity as seen at normal HSG. Congruent findings between HSG and RN-HSG was observed in 49%. The studied oviducts were found to be patent with normal HSG but lacked transportation capacity when studied by RN-HSG in 41%. The clinical use of this method is discussed in view of the selection of patients for different forms of in vitro fertilization and egg transfer (IVF-ET).
本文描述并宣称了一种评估人类子宫和输卵管腔上皮主动运输能力的临床方法。在排卵前1 - 2天经宫颈应用锝标记的人白蛋白微球后，当这些微球向卵巢方向移动时，可用γ相机追踪其放射性。这种方法称为放射性核素子宫输卵管造影（RN - HSG）。将该结果与正常子宫输卵管造影（HSG）的结果进行比较。通过使用这种方法，可以验证HSG检查时输卵管痉挛病例中的主动运输情况、HSG检查时正常通畅输卵管病例中的运输缺乏情况，以及HSG检查时可见的有或无伞端通向腹腔的输卵管积水病例中主动运输的有无。HSG和RN - HSG之间的一致发现率为49%。研究发现，在HSG检查中输卵管通畅，但在RN - HSG检查时，41%的输卵管缺乏运输能力。鉴于为不同形式的体外受精和胚胎移植（IVF - ET）选择患者，讨论了该方法的临床应用。
