中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

输卵管阻塞性病变的诊断选择

  

  1. 南京医科大学第一附属医院 江苏省人民医院 江苏省妇幼保健院 临床生殖医学中心/生殖医学国家重点实验室（南京医科大学），江苏 南京 210029
  • 出版日期:2019-01-02 发布日期:2019-01-10
  • 通讯作者: 冒韵东
  • 基金资助:

    国家自然科学基金（81671438）

Choice of diagnostic methods in tubal obstructive diseases.

  1. Clinical Center of Reproductive Medicine.The First Affiliated Hospital of Nanjing Medical University/Jiangsu Province Hospital/Jiangsu Women and Children Hospital，State Key Lab of Reproductive Medicinec Nanjing Medical University，Nanjing 210029，China
  • Online:2019-01-02 Published:2019-01-10

摘要：

文章介绍了输卵管通液，子宫输卵管造影（HSG），二维、三维及动态三维（四维）超声造影，磁共振下子宫输卵管造影术及宫、腹腔镜下的输卵管通畅度检查。比较了各类检查的优缺点，主要介绍了脂溶性及水溶性造影剂的不同特点、HSG诊断近端阻塞的高假阳性率等。便于读者根据本单位的条件选择合适的输卵管评估方法。

关键词: 输卵管通畅度检查, 输卵管通液, 子宫输卵管造影、超声造影、磁共振下子宫输卵管造影, 宫腔镜, 腹腔镜

Abstract:

This review introduces the tubal liquid instillations，hysterosalpingography（HSG），two-dimensional/three-dimensional and dynamic three-dimensional（four-dimensional）hysterosalpingo-contrast sonography，MRI-HSG，tubal patency test by hysteroscopy  and  hysteroscopy-laparoscopy.We compares the advantages and disadvantages of various kinds of tests，mainly the different characteristics of oil-based or water-based contrast medium，and the high false positive rate of HSG diagnosis of proximal obstruction，etc，in order to enable the readers to choose suitable tubal evaluation methods according to the conditions of their unit.

Key words: test of fallopian tube patency, tubal liquid instillations, hysterosalpingography, hysterosalpingo-contrast sonography, MRI-HSG, hysteroscopy, laparoscopy

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