Acute Gynecology, Early Pregnancy, and Advanced Endosurgery Unit, Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Sydney, New South Wales, Australia.
Omni Gynecologic Ultrasound and Care, Sydney, New South Wales, Australia.
J Ultrasound Med. 2019 Dec;38(12):3301-3309. doi: 10.1002/jum.15022. Epub 2019 May 15.
Women with infertility are often investigated with saline-infusion sonohysterography and hysterosalpingo-contrast-sonography. The high prevalence of endometriosis in this population also warrants an evaluation with transvaginal ultrasound for deep endometriosis. To minimize investigations, we prospectively evaluated the feasibility of a novel combined ultrasound technique called saline-infusion sonoPODography. In most patients, the fluid infused to assess the cavity and tubal patency spilled through patent tubes and filled the pouch of Douglas, yielding a "standoff" view of posterior compartment structures, including uterosacral ligaments, rectovaginal septum, and the pouch of Douglas. We believe this improved our ability to evaluate this space.
对于患有不孕症的女性，通常会进行盐水灌注子宫输卵管超声造影和子宫输卵管造影检查。由于该人群中子宫内膜异位症的高发率，也需要经阴道超声检查来评估深部子宫内膜异位症。为了减少检查，我们前瞻性地评估了一种称为盐水灌注 sonopodography 的新型联合超声技术的可行性。在大多数患者中，用于评估宫腔和输卵管通畅性的灌注液会通过通畅的输卵管溢出，并充满阔韧带后间隙，从而获得后盆腔结构的“间隔”视图，包括子宫骶韧带、直肠阴道隔和阔韧带后间隙。我们认为这提高了我们评估该区域的能力。
