[Transvaginal contrast hysterosalpingo-sonography with the B-image procedure and color-coded duplex sonography for the assessment of fallopian tube patency].
Transvaginal hysterosalpingo-contrast-sonography (HYCOSY), a new method for the direct assessment of tubal patency by means of ultrasonography, was employed in 68 women with infertility problems. In 67 cases, the findings were compared with hysterosal-pinography or chromolaparoscopy, performed either subsequently while the patient was still under the anaesthetic or later. The contrast demonstration of the Fallopian tubes was performed with the B mode procedure in 54 cases (Group 1) and by means of colour-coded duplex sonography in 14 (Group 2). In Group 1, the findings agreed completely in 39 cases, partially in 14 and not at all in one. In Group 2, in which 13 of the 14 cases were compared, the findings were identical in 9 cases and partially in 4. From the point of view of image documentation, the more vivid demonstration of free tubal passage in colour Doppler sonography compared to the simple B mode appears to be an advantage. Further studies are needed to determine whether contrast-perfused but dislocated tubes can be detected more easily and quickly with colour Doppler than in B mode.
Deichert
U
U
Medizinisches Zentrum für Frauenheilkunde und Geburtshilfe der Universität Marburg.
Schlief
R
R
van de Sandt
M
M
Göbel
R
R
Daume
E
E
D000293:Adolescent; D000328:Adult; D003251:Constriction, Pathologic / Q000175:diagnosis; D003287:Contrast Media; D005184:Fallopian Tube Diseases / Q000175:diagnosis*; D005186:Fallopian Tube Patency Tests / Q000379:methods*; D005187:Fallopian Tubes / Q000473:pathology; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis*; D011134:Polysaccharides; D014463:Ultrasonography / Q000379:methods*; D014621:Vagina
D003287:Contrast Media; D011134:Polysaccharides; C040642:SHU 454
Transvaginale Hysterosalpingo-Kontrastsonographie (HKSG) im B-Bild-Verfahren und in der farbcodierten Duplexsonographie zur Abklärung der Tubenpassage.