Taechakraichana N, Wisawasukmongchol W, Uerpairojkij B, Suwajanakorn S, Limpaphayom K, Phaosawasdi S
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Obstet Gynaecol Res. 1996 Oct;22(5):473-9. doi: 10.1111/j.1447-0756.1996.tb01060.x.
To assess the value of transvaginal sonographic hydrotubation with color Doppler flow (TSH) as a test of tubal patency.
Thirty-nine women undergoing infertility investigation at Chulalongkorn Hospital participated in this prospective, blind comparative study. Before diagnostic laparoscopy (DL) with chromopertubation, TSH was performed using the SSD 680, 5 MHz vaginal ultrasound probe and 20-50 ml of saline was injected into the uterine cavity.
Nine cases could not be evaluated properly. Of the 30 cases, there were complete agreements between TSH and DL in 24 (80%), partial agreement in 5 (16.67%) and non-agreement in 1 (3.33%). TSH had sensitivity 100%; specificity 84.62%, positive predictive value 50%, negative predictive value 100%, false positive rate 15.38%, but no false negative rate.
TSH is a simple diagnostic procedure for screening of tubal patency. However, other confirmatory test is needed if tubal occlusion is suspected.
评估经阴道彩色多普勒超声输卵管通液术（TSH）作为输卵管通畅性检查的价值。
39名在朱拉隆功医院接受不孕症检查的女性参与了这项前瞻性、盲法对照研究。在进行诊断性腹腔镜检查（DL）和输卵管染色通液之前，使用SSD 680、5MHz阴道超声探头进行TSH检查，并向宫腔内注入20 - 50毫升生理盐水。
9例无法进行正确评估。在30例中，TSH与DL完全一致的有24例（80%），部分一致的有5例（16.67%），不一致的有1例（3.33%）。TSH的敏感性为100%；特异性为84.62%，阳性预测值为50%，阴性预测值为100%，假阳性率为15.38%，但无假阴性率。
TSH是一种用于筛查输卵管通畅性的简单诊断方法。然而，如果怀疑输卵管阻塞，则需要其他确诊检查。
