Assessment of Fallopian Tube Fimbria Patency With 4-Dimensional Hysterosalpingo-Contrast Sonography in Infertile Women

作者：Wang, Weiqun; Zhou, Qiulan; Gong, Yafei; Li, Ying; Huang, Yinying; Chen, Zhiyi^*

来源：Journal of Ultrasound in Medicine, 2017, 36(10): 2061-2069.

DOI：10.1002/jum.14244

• fallopian tube fimbria patency
• 4-dimensional sonography
• gynecologic ultrasound
• hysterosalpingo-contrast sonography
• infertility
• transvaginal sonography

ObjectivesThe purpose of this study was to evaluate the performance of 4-dimensional (4D) hysterosalpingo-contrast sonography (HyCoSy) for assessing fallopian tube fimbria patency in infertile women.
MethodsSeventy-seven infertile female patients with obstruction at the tubal fimbria or partial obstruction with pelvic adhesions were included. All of the patients underwent 4D HyCoSy enhanced by dynamic observation after a flush of normal saline and were followed with laparoscopic chromopertubation using methylene blue within 6 months.
ResultsThe overall accordance between 4D HyCoSy and laparoscopic chromopertubation was 92.9%. The sensitivity and specificity of 4D HyCoSy with laparoscopic chromopertubation as a reference standard were 93.8% and 92.2%, respectively.
ConclusionsFour-dimensional HyCoSy can be the preferred method for assessment of tubal fimbria patency and pelvic adhesions surrounding the ovaries, with its advantages of accuracy, noninvasiveness, and a good safety profile.

• 出版日期2017-10
• 单位广州医科大学