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辅助受孕前的常规生理盐水灌注子宫输卵管超声造影:我们的初步经验回顾

ROUTINE SALINE INFUSION SONOHYSTEROGRAPHY PRIOR TO ASSISTED CONCEPTION: A REVIEW OF OUR INITIAL EXPERIENCE.

作者信息

Obajimi G, Ogunkinle B

机构信息

Department of Obstetrics & Gynaecology, University College Hospital, Ibadan.

Department of Obstetrics & Gynaecology, The Bridge Clinic, Victoria Island, Lagos.

出版信息

Ann Ib Postgrad Med. 2016 Dec;14(2):99-102.

PMID:28337095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5354628/
Abstract

Saline infusion sonohysterography has been employed to evaluate the uterine cavity prior to commencement of assisted conception.Intra-uterine lesions play an important role in the outcome of assisted conception procedures. A descriptive retrospective study of 760 patients who had saline infusion sonohysterography prior to assisted conception, between January 2008 and December, 2010. Forty-six percent of the patients had intra-uterine pathologies. Submucous fibroids accounted for almost half (48.57%) of the pathologies, followed by adhesions (28.57%) and endometrial polyps (22.86%). Complications arising from the procedure were minor and occurred in 26 patients (3.42%). Abdominal cramps, vaginal bleeding and vaginal discharge occurred in 14 (53.85%), 8 (30.77%) and 4 (15.38%) respectively. The average duration of the procedure was 6 minutes with a range of 4-9 minutes. Saline infusion sonohysterography is a reliable, cost effective and safe diagnostic tool in the evaluation of the uterine cavity prior to assisted conception.

摘要

在辅助生殖开始前,盐水灌注超声子宫造影已被用于评估子宫腔。子宫内病变在辅助生殖程序的结果中起着重要作用。这是一项对2008年1月至2010年12月期间在辅助生殖前接受盐水灌注超声子宫造影的760例患者进行的描述性回顾性研究。46%的患者有子宫内病变。黏膜下肌瘤占病变的近一半(48.57%),其次是粘连(28.57%)和子宫内膜息肉(22.86%)。该操作引起的并发症较轻微,26例患者(3.42%)出现并发症。腹部绞痛、阴道出血和阴道分泌物分别发生在14例(53.85%)、8例(30.77%)和4例(15.38%)。该操作的平均持续时间为6分钟,范围为4 - 9分钟。盐水灌注超声子宫造影是辅助生殖前评估子宫腔的一种可靠、经济有效且安全的诊断工具。

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本文引用的文献

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Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography and hysteroscopy.生理盐水灌注超声子宫造影、经阴道超声检查和宫腔镜检查的诊断准确性比较。
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A comparative study of three-dimensional saline infusion sonohysterography and diagnostic hysteroscopy for the classification of submucous fibroids.三维盐水灌注超声子宫造影与诊断性宫腔镜检查对黏膜下肌瘤分类的比较研究
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Saline infusion sonohysterography: technique, indications, and imaging findings.生理盐水灌注子宫超声造影:技术、适应证及影像学表现
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BJOG. 2003 Oct;110(10):938-47. doi: 10.1111/j.1471-0528.2003.02472.x.
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Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: a prospective, randomized study.门诊宫腔镜检查、生理盐水灌注子宫超声造影及子宫输卵管造影在不孕女性中的评估:一项前瞻性随机研究。
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