彩色多普勒子宫输卵管造影术在输卵管通畅性诊断中的应用
Color Doppler hysterosalpingography in the diagnosis of tubal patency.
作者信息
Battaglia C, Artini P G, D'Ambrogio G, Genazzani A D, Genazzani A R, Volpe A
机构信息
Department of Pathophysiology of Human Reproduction, University School of Medicine of Modena, Italy.
出版信息
Fertil Steril. 1996 Feb;65(2):317-22. doi: 10.1016/s0015-0282(16)58092-3.
OBJECTIVE
To assess tubal patency by color Doppler hysterosalpingography (HSG).
DESIGN
Comparative study of color Doppler HSG with roentgenogram HSG and chromolaparoscopy in infertile women of childbearing age.
SETTING
Clinical environment.
PATIENTS
Sixty female patients (22 to 39 years) with long-lasting infertility problems.
INTERVENTION
Sterile saline was transcervically injected into the uterine cavity through a catheter and color Doppler HSG was performed. All the patients were submitted to roentgenogram HSG and chromolaparoscopy.
MAIN OUTCOME MEASURES
The diagnostic efficacy of color Doppler HSG and its concordance with "gold standard" chromolaparoscopy were analyzed.
RESULTS
Correlation between color Doppler HSG and roentgenogram HSG with chromolaparoscopy occurred in 86% versus 93% of all women studied.
CONCLUSIONS
Color Doppler HSG with its accuracy and safety results a promising alternative technique to roentgenogram HSG in diagnosing tubal status in infertile patients.
目的
通过彩色多普勒子宫输卵管造影术（HSG）评估输卵管通畅情况。
设计
对育龄期不孕女性进行彩色多普勒HSG与X线HSG及染色腹腔镜检查的对比研究。
地点
临床环境。
患者
60名患有长期不孕问题的女性患者（22至39岁）。
干预措施
通过导管经宫颈向宫腔内注入无菌生理盐水并进行彩色多普勒HSG。所有患者均接受X线HSG和染色腹腔镜检查。
主要观察指标
分析彩色多普勒HSG的诊断效能及其与“金标准”染色腹腔镜检查的一致性。
结果
在所有研究女性中，彩色多普勒HSG与X线HSG和染色腹腔镜检查的相关性分别为86%和93%。
结论
彩色多普勒HSG因其准确性和安全性，在诊断不孕患者输卵管状况方面是一种有前景的替代X线HSG的技术。
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