Application of 3D-HyCoSy in the diagnosis of oviduct obstruction
- Authors:
- Jinglei Wang
- Jingbo Li
- Ling Yu
- Suhua Han
- Xiaofang Shen
- Xiao Jia
View Affiliations
Affiliations: Department of Ultrasound, Dongying People's Hospital, Dongying, Shandong 257091, P.R. China
- Published online on: January 24, 2017 https://doi.org/10.3892/etm.2017.4083
-
Pages:
966-970
-
Copyright: © Wang
et al. This is an open access article distributed under the
terms of Creative
Commons Attribution License.
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Abstract
The aim of the study was to analyze the application value of three-dimensional hysterosalpingo-contrast sonography (3D-HyCoSy) in the diagnosis of oviduct obstruction. Fifty-two patients with infertility and oviduct obstruction were continuously selected and treated with 3D-HyCoSy and CLP (CLP). It was found that according to CLP diagnosis, 40 oviducts were obstructed, 30 were partially obstructed, 12 were tortuous and 22 were completely obstructed. The 40 cases were unilaterally pathological, 24 were bilaterally pathological, 10 were diagnosed as congenital dysplasia, 35 were diagnosed as inflammation and 19 were diagnosed as tumor and cyst. Based on the diagnostic criteria of CLP, the diagnostic sensitivity, specificity, positive predictive values and negative predictive values of 3D-HyCoSy was 82.4, 88.3, 77.9 and 90.2%, respectively. The contrast agent flow time of oviduct obstruction (tortuosity and complete obstruction) as diagnosed by 3D-HyCoSy was significantly prolonged when compared with that of partial oviduct obstruction (P<0.05), and flow time of inflammation as diagnosed thereby was longer than that of congenital dysplasia, tumor and cyst. Following the diagnosis of inflammation, the shape of the contrast agent was tenuous, swollen, angled, rigid and distorted and the occurrence rate of inflammation was significantly higher (P<0.05). In conclusion, the diagnostic effect of 3D-HyCoSy on oviduct obstruction was more accurate and can show different features when diagnosing different types of inflammation, thus having a certain value for identifying the inflammation.
View References
|
1
|
Lovsin B and Tomazevic T:
Hysterosalpingo-contrast sonography for infertility investigation.
Int J Gynaecol Obstet. 108:70–71. 2010. View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Hamed HO, Shahin AY and Elsamman AM:
Hysterosalpingo-contrast sonography versus radiographic
hysterosalpingography in the evaluation of tubal patency. Int J
Gynaecol Obstet. 105:215–217. 2009. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Saunders RD, Shwayder JM and Nakajima ST:
Current methods of tubal patency assessment. Fertil Steril.
95:2171–2179. 2011. View Article : Google Scholar : PubMed/NCBI
|
|
4
|
El-Sherbiny W and Nasr AS: Value of
3-dimensional sonohysterography in infertility work-up. J Minim
Invasive Gynecol. 18:54–58. 2011. View Article : Google Scholar : PubMed/NCBI
|
|
5
|
Exacoustos C, Zupi E, Szabolcs B, Amoroso
C, Di Giovanni A, Romanini ME and Arduini D: Contrast-tuned imaging
and second-generation contrast agent SonoVue: a new ultrasound
approach to evaluation of tubal patency. J Minim Invasive Gynecol.
16:437–444. 2009. View Article : Google Scholar : PubMed/NCBI
|
|
6
|
Savelli L, Pollastri P, Guerrini M, Villa
G, Manuzzi L, Mabrouk M, Rossi S and Seracchioli R: Tolerability,
side effects, and complications of hysterosalpingocontrast
sonography (HyCoSy). Fertil Steril. 92:1481–1486. 2009. View Article : Google Scholar : PubMed/NCBI
|
|
7
|
Zhou L, Zhang X, Chen X, Liao L, Pan R,
Zhou N and Di N: Value of three-dimensional
hysterosalpingo-contrast sonography with SonoVue in the assessment
of tubal patency. Ultrasound Obstet Gynecol. 40:93–98. 2012.
View Article : Google Scholar : PubMed/NCBI
|
|
8
|
Kupesic S and Plavsic BM: 2D and 3D
hysterosalpingo-contrast-sonography in the assessment of uterine
cavity and tubal patency. Eur J Obstet Gynecol Reprod Biol.
133:64–69. 2007. View Article : Google Scholar : PubMed/NCBI
|
|
9
|
Coyne L, Jayaprakasan K and Raine-Fenning
N: 3D ultrasound in gynecology and reproductive medicine. Womens
Health (Lond Engl). 4:501–516. 2008. View Article : Google Scholar
|
|
10
|
Fleischer AC, Lyshchik A, Jones HW Jr,
Crispens M, Loveless M, Andreotti RF, Williams PK and Fishman DA:
Contrast-enhanced transvaginal sonography of benign versus
malignant ovarian masses: preliminary findings. J Ultrasound Med.
27:1011–1018; quiz 1019–1021. 2008. View Article : Google Scholar : PubMed/NCBI
|
|
11
|
Alcázar JL, Martinez-Astorquiza Corral T,
Orozco R, Dominguez-Piriz J, Juez L and Errasti T:
Three-dimensional hysterosalpingo-contrast-sonography for the
assessment of tubal patency in women with infertility: a systematic
review with meta-analysis. Gynecol Obstet Invest. 30:2–4. 2016.
|
|
12
|
Cheng Q, Wang SS, Zhu XS and Li F:
Evaluation of tubal patency with transvaginal three-dimensional
hysterosalpingo-contrast sonography. Chin Med Sci J. 30:70–75.
2015. View Article : Google Scholar : PubMed/NCBI
|
|
13
|
Chan CC, Ng EH, Tang OS, Chan KK and Ho
PC: Comparison of three-dimensional
hysterosalpingo-contrast-sonography and diagnostic laparoscopy with
chromopertubation in the assessment of tubal patency for the
investigation of subfertility. Acta Obstet Gynecol Scand.
84:909–913. 2005. View Article : Google Scholar : PubMed/NCBI
|
|
14
|
Watermann D, Denschlag D, Hanjalic-Beck A,
Keck C, Karck U and Prömpeler H:
Hystero-salpingo-contrast-sonography with 3-d-ultrasound - a pilot
study. Ultraschall Med. 25:367–372. 2004.(In German). View Article : Google Scholar : PubMed/NCBI
|
