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使用盐水灌注超声检查评估亚生育力患者的宫内和输卵管因素。

Use of Saline Infusion Sonography to Evaluate Intrauterine and Tubal Factors in Subfertile Patients.

作者信息

Sattiraju Krishna Sailaja, Katakdhond Shriraj

机构信息

Obstetrics and Gynaecology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND.

出版信息

Cureus. 2024 Nov 10;16(11):e73375. doi: 10.7759/cureus.73375. eCollection 2024 Nov.

DOI:10.7759/cureus.73375
PMID:39659350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629824/
Abstract

OBJECTIVES

This study aims to observe and report on the use of saline infusion sonography (SIS) to find out intrauterine and tubal factors in infertile/subfertile women, focusing on its diagnostic use, clinical advantages, and practical implications.

METHODS

A prospective observational study was conducted involving 86 women presenting with subfertility and/or recurrent pregnancy loss in a tertiary care hospital. These participants were selected based on inclusion and exclusion criteria relevant to the study objectives. SIS was performed using B-mode ultrasonography and Doppler techniques, involving the instillation of saline transcervically into the cavity of the uterus. The procedure's use in evaluating uterine and tubal pathology was observed.

RESULTS

SIS demonstrated reasonable diagnostic use in detecting uterine anomalies, including polyps and leiomyomas. The technique also assessed tubal patency, though pinpointing the exact site of obstruction was challenging. The procedure was well-tolerated, with minimal discomfort reported by the patients.

LIMITATIONS

The single-center design and limited sample size of the study are among its drawbacks, which could affect the generalizability of the findings of this research.

CONCLUSIONS

SIS is a valuable, minimally invasive diagnostic tool for assessing uterine and tubal factors in subfertile women. It offers high diagnostic value, low risk of complications, and improved patient comfort compared to traditional methods.

摘要

目的

本研究旨在观察并报告盐水灌注超声检查（SIS）在查明不孕/亚生育女性的宫内和输卵管因素方面的应用，重点关注其诊断用途、临床优势及实际意义。

方法

在一家三级医疗机构对86名患有亚生育和/或复发性流产的女性进行了一项前瞻性观察研究。这些参与者是根据与研究目标相关的纳入和排除标准选取的。SIS采用B型超声和多普勒技术进行，包括经宫颈向子宫腔内注入盐水。观察了该 procedure 在评估子宫和输卵管病变方面的应用情况。

结果

SIS在检测子宫异常（包括息肉和肌瘤）方面显示出合理的诊断用途。该技术还评估了输卵管通畅情况，不过精确确定梗阻的确切部位具有挑战性。该 procedure 耐受性良好，患者报告的不适程度最小。

局限性

本研究的单中心设计和有限的样本量是其缺点之一，这可能会影响本研究结果的普遍性。

结论

SIS是评估亚生育女性子宫和输卵管因素的一种有价值的、微创诊断工具。与传统方法相比，它具有较高的诊断价值、较低的并发症风险且能提高患者舒适度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/11629824/e3014723ff56/cureus-0016-00000073375-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/11629824/64e9a5fea24c/cureus-0016-00000073375-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/11629824/9e534d164fb0/cureus-0016-00000073375-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/11629824/e3014723ff56/cureus-0016-00000073375-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/11629824/64e9a5fea24c/cureus-0016-00000073375-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/11629824/9e534d164fb0/cureus-0016-00000073375-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/11629824/e3014723ff56/cureus-0016-00000073375-i03.jpg

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本文引用的文献

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Pain Perception and Side Effects During Saline Infusion Sonohysterography With a Balloon Catheter: A Randomized Comparative Study of Cervical Versus Intrauterine Catheter Placement.
J Ultrasound Med. 2020 Sep;39(9):1829-1837. doi: 10.1002/jum.15292. Epub 2020 Apr 17.
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Diagnostic value of saline infusion sonohysterography for detecting endometrial focal lesion.生理盐水灌注子宫超声造影对检测子宫内膜局灶性病变的诊断价值
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Role of Saline Infusion Sonohysterography in Infertility Evaluation.生理盐水灌注子宫输卵管造影术在不孕症评估中的作用。
J Hum Reprod Sci. 2018 Jul-Sep;11(3):236-241. doi: 10.4103/jhrs.JHRS_47_18.
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AIUM practice guideline for the performance of sonohysterography.美国超声医学学会子宫输卵管超声造影检查实践指南
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Investigation of the infertile couple: investigation of the infertile couple in the era of assisted reproductive technology: a time for reappraisal.不孕夫妇的调查：辅助生殖技术时代不孕夫妇的调查：重新评估的时机。
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A simplified ultrasound based infertility investigation protocol and its implications for patient management.一种基于超声的简化不孕症检查方案及其对患者管理的意义。
J Assist Reprod Genet. 2000 Feb;17(2):87-92. doi: 10.1023/a:1009409815845.
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