Evaluation of Fallopian Tube Patency Using Transvaginal Ultrasound Hysterosalpingography Under Non-general Anesthesia Sedation
Objective To evaluate the value of transvaginal four-dimensional hysterosalpingography(TVS 4D-HyCoSy)in diagnosing fallopian tube patency under non-general anesthesia sedation.Methods A total of 196 suspected tubal infertility patients with 376 fallopian tubes treated in Shiyan Renmin Hospital from January 2022 to November 2023 were randomly di-vided into three groups.Specifically,71 cases with 139 fallopian tubes underwent conventional hysterotubal contrast ultra-sound(traditional group);58 cases with 110 fallopian tubes were administered intravenous propofol+sufentanil injection before contrast-enhanced ultrasonography(general anesthesia group);67 cases with 127 fallopian tubes received general anesthesia(sedation group).Laparoscopy chromopertubation using methylene blue(LC)results served as the standard for comparing diagnostic accuracy,the degree of pain,and safety(adverse reactions)among the three groups.Results The consistency rate of LC in the traditional,general anesthesia,and sedation groups was 84.9%,91.8%,and 92.9%,respec-tively(P＞0.05).However,the detection rates of false-positive fallopian tube obstruction in the sedation group(2.4%)and general anesthesia group(2.7%)were decreased compared with that in the traditional group(10.4%)(P＜0.05).The rate of proximal obstruction in the sedation group was lower than that in both traditional and general anesthesia groups(P＜0.05).Additionally,the VAS scores for pain in the sedation and general anesthesia groups were lower than that in the tradi-tional group(P＜0.05).The incidence of adverse reactions in the sedation group was lower than in the general anesthesia and traditional groups(P＜0.05).Conclusion TVS 4D-HyCoSy conducted under non-general anesthesia sedation safely and accurately determines the fallopian tube patency,which is worthy of clinical application.
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