Kaori Kiyokawa1, Hideaki Masuda1, T. Fuyuki1, Masato Koseki1, Nobuhiro Uchida1, Tokushi Fukuda1, Kenjie Amemiya1, K. Shouka1, Kazutomo Suzuki1
1Department of Obstetrics and Gynecology, Keiyu Hospital, Yokohama, Japan
Tóm tắt
AbstractObjectiveThis study aimed to assess the use of three‐dimensional hysterosalpingo‐contrast sonography (3D‐HyCoSy) as a routine outpatient procedure for evaluating infertile women.MethodsIn 25 unselected infertile patients, tubal patency and uterine cavity were investigated by 3D‐HyCoSy with saline as a contrast medium. The efficacy of the procedure was evaluated with X‐ray hysterosalpingography (XHSG) as reference.ResultsThe positive predictive value, negative predictive value, sensitivity, and specificity of predicting tubal patency by 3D‐HyCoSy were 100, 33.3, 84.4, and 100%, respectively. The full contour of the uterine cavity was depicted in 96% of cases by 3D‐HyCoSy and 64% by XHSG (P < 0.005). The uterine cavity area measured on 3D‐HyCoSy correlated well with the volume of contrast medium required on XHSG (r
2 = 0.8166).Conclusions3D‐HyCoSy provided advantages of better assessment of uterine cavity over XHSG. Compared with conventional XHSG, the efficacy of 3D‐HyCoSy to assess tubal patency was acceptable. In addition, the procedure of 3D‐HyCoSy appears to be better tolerated, requiring no sedation or anesthesia and a reduced examination time. Thus, 3D‐HyCoSy with saline as a contrast medium is feasible and could comprise a routine outpatient procedure in the initial evaluation of infertile women. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology
