Goldberg J M, Falcone T, Attaran M
Department of Gynecology and Obstetrics, The Cleveland Clinic Foundation, OH 44195, USA.
Hum Reprod. 1997 Oct;12(10):2151-3. doi: 10.1093/humrep/12.10.2151.
Transvaginal sonohysterography was performed on 40 consecutive patients with infertility or recurrent pregnancy loss and uterine abnormalities on hysterosalpingography. The findings were correlated with the hysterosalpingogram and subsequent diagnostic and/or operative hysteroscopy. Hysterosalpingography was incorrect in nine cases. Sonohysterography was more accurate than hysterosalpingography and provided more information about uterine abnormalities. Sonohysterography was in complete agreement with hysteroscopy. Diagnostic hysteroscopy can therefore be avoided if the sonohysterogram is normal. Sonohysterography also provides additional information on the relative proportion of the intracavitary and intramyometrial components of submucus myomas, as well as extracavitary myomas and the adnexae. This may help in planning the surgical procedure.
对40例因不孕症或复发性流产且子宫输卵管造影显示子宫异常的患者连续进行了经阴道子宫超声造影检查。将检查结果与子宫输卵管造影以及随后的诊断性和/或手术性宫腔镜检查结果进行了对比。子宫输卵管造影在9例中出现错误。子宫超声造影比子宫输卵管造影更准确，并且能提供更多有关子宫异常的信息。子宫超声造影与宫腔镜检查结果完全一致。因此，如果子宫超声造影正常，就可以避免进行诊断性宫腔镜检查。子宫超声造影还能提供有关黏膜下肌瘤腔内和肌层内成分的相对比例的额外信息，以及腔外肌瘤和附件的相关信息。这可能有助于手术方案的制定。
