Volpi E, Piermatteo M, Zuccaro G, Baisi F, Sismondi P
Istituto di Ginecologia Oncologica, Università degli Studi, Torino.
Minerva Ginecol. 1996 Jan-Feb;48(1-2):1-3.
The aim of this work was to evaluate transvaginal sonography (TVS) in the study of tubal patency as part of the investigation of female infertility. Fifteen women underwent tubal patency by ultrasonography while air and saline solution were instilled into the uterus to provide positive contrast. In three cases of TVS detection of tubal obstruction the findings were compared with hysterosalpingography, which confirmed the presence of the occlusion. In one case the exam was suspended for the excessive pelvic pain of the patient. In one patient TVS tubal control was impossible for the presence of large multiple uterine myomas. Transvaginal sonography with the use of a simultaneous intrauterine saline infusion offers certain advantages over hysterosalpingography, such as the elimination of iodinated contrast and ionizing radiation. TVS provides complete examination of the entire pelvis, thus delineating uterine and ovarian abnormalities, and it is more convenient and less expensive. It should be performed by an experience sonographist with standard sonographic equipment. In conclusion, tubal patency can be performed as an outpatient procedure in the routine infertility clinic.
本研究旨在评估经阴道超声检查（TVS）在输卵管通畅性检查中的应用，作为女性不孕症检查的一部分。15名女性接受了超声输卵管通畅性检查，同时向子宫内注入空气和生理盐水以提供阳性对比。在3例经TVS检测出输卵管阻塞的病例中，将检查结果与子宫输卵管造影进行了比较，子宫输卵管造影证实了阻塞的存在。1例因患者盆腔疼痛过度而中止检查。1例患者因存在多发性大子宫肌瘤而无法进行TVS输卵管检查。使用同步子宫内盐水灌注的经阴道超声检查比子宫输卵管造影具有某些优势，如消除了碘化造影剂和电离辐射。TVS可对整个盆腔进行全面检查，从而明确子宫和卵巢异常情况，且更方便、成本更低。应由经验丰富的超声检查医师使用标准超声设备进行检查。总之，输卵管通畅性检查可在常规不孕症门诊作为门诊手术进行。
