Chen Fenhong, Quan Juan, Huang Pintong, You Xiangdong
Department of Ultrasonography, Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
Department of Ultrasonography, Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
J Minim Invasive Gynecol. 2017 Mar-Apr;24(3):407-414. doi: 10.1016/j.jmig.2016.12.011. Epub 2016 Dec 27.
To evaluate the practicability of transvaginal 4-dimensional (4D) hysterosalpingo-contrast sonography (HyCoSy) using SonoVue for screening of fallopian tube patency in infertile females.
Prospective observational study (Canadian Task Force classification II-2).
The Second Affiliated Hospital of Zhejiang University.
204 infertile females who underwent 4D-HyCoSy between July 2015 and June 2016.
4D-HyCoSy was performed to acquire dynamic images. If any of the fallopian tubes was not developing during the process, the procedure was repeated promptly, to exclude false-positive outcomes. Subsequently, tube status was confirmed by traditional 2-dimensional (2D)-HyCoSy. Finally, the results of the 4D-HyCoSy and the final 2D-HyCoSy were compared.
A total of 204 patients (408 tubes) were evaluated ith 4D-HyCoSy followed by 2D-HyCoSy. Of these 408 tubes, 385 demonstrated the same status on 4D-HyCoSy and 2D-HyCoSy, for an agreement rate of 94.4%.
A 4D technique combined with HyCoSy is a practicable screening method for assessing fallopian tube patency. It overcomes the disadvantages of 2D-HyCoSy and has a relatively high degree of agreement with the more difficult 2D-HyCoSy technique.
评估使用声诺维经阴道四维子宫输卵管超声造影（HyCoSy）筛查不孕女性输卵管通畅性的实用性。
前瞻性观察性研究（加拿大工作组分类II-2）。
浙江大学医学院附属第二医院。
2015年7月至2016年6月期间接受四维子宫输卵管超声造影的204名不孕女性。
进行四维子宫输卵管超声造影以获取动态图像。如果在过程中任何输卵管未显影，立即重复该操作，以排除假阳性结果。随后，通过传统二维子宫输卵管超声造影确认输卵管状态。最后，比较四维子宫输卵管超声造影和最终二维子宫输卵管超声造影的结果。
共有204例患者（408条输卵管）接受了四维子宫输卵管超声造影，随后进行二维子宫输卵管超声造影。在这408条输卵管中，385条在四维子宫输卵管超声造影和二维子宫输卵管超声造影中显示相同状态，符合率为94.4%。
四维技术联合子宫输卵管超声造影是评估输卵管通畅性的一种实用筛查方法。它克服了二维子宫输卵管超声造影的缺点，与更具难度的二维子宫输卵管超声造影技术具有较高的符合度。
