应用子宫输卵管超声造影评估输卵管通畅性:在争议与困境中前行
Evaluation of tubal patency by hysterosalpingo-contrast sonography:moving forward in controversies and dilemmas
徐子宁 1王瑶婷 1孙娟 1陈双喜 1邹彦 1崔艾琳 1舒静2
作者信息
- 1. 浙江省人民医院,杭州医学院附属人民医院生殖医学中心超声医学科,杭州 310012
- 2. 浙江省人民医院,杭州医学院附属人民医院生殖医学中心生殖内分泌科,杭州 310012
- 折叠
摘要
近年来,输卵管性不孕的发病率不断上升.在我国,多数输卵管性不孕女性为了尽可能保留输卵管,会优先考虑接受保守治疗或者输卵管重建手术.为了满足这类患者的生育需求,生殖领域的临床医生就需要综合评价各种不孕危险因素,权衡利弊,探求更符合患者利益的个体化诊疗方案.对于输卵管的影像学评估水准也相应地提出了更高的要求.子宫输卵管超声造影(hysterosalpingo-contrast sonography,HyCoSy)作为评价输卵管通畅性的一线影像学技术,其价值已得到大量临床实践的肯定,但仍面临着众多争议与困境.本文通过文献回顾和经验总结,为HyCoSy这项技术的前行提供观点.
Abstract
In recent years,the incidence rate of tubal infertility has been rising.In China,most patients with tubal infertility prioritize conservative management or tubal reconstruction surgery in order to preserve fallopian tubes as far as possible.In order to meet the reproductive needs of tubal infertile patients,clinicians in the reproductive field need to evaluate various infertility risk factors comprehensively,weigh the pros and cons,and explore individualized reproductive programs which are more in line with the interests of patients.Correspondingly,higher requirements for the imaging evaluation efficiency of the fallopian tubes have been put forward.Hysterosalpingo-contrast sonography(HyCoSy),as a first-line imaging technique for evaluating tubal patency,still faces many controversies and dilemmas despite its value being widely recognized in clinical practice.This paper aims to provide viewpoints for the advancement of HyCoSy by reviewing literature and summarizing experiences.
关键词
子宫输卵管超声造影/输卵管通畅性/输卵管性不孕Key words
Hysterosalpingo-contrast sonography/Tubal patency/Tubal infertility引用本文复制引用
基金项目
浙江省医药卫生科技计划项目(2024KY688)
浙江省人民医院优秀科研启动基金(ZRY2021B012)
浙江省人民医院优秀科研启动基金(ZRY2020B016)
出版年
2024
NETL
NSTL
万方数据