Echohysterosalpingography using the contrast agent SonoVue is an effective technology for evaluation of fallopian tube patency
Objective. The paper highlights the issues associated with the possibility of using echohysterosalpingography with ultrasound contrast agents to diagnose fallopian tube patency.Sencha A.N., Bychenko V.G., Fedotkina E.P., Oleinik V.I., Syrkashev E.M.
Subjects and methods. A total of 3,365 female patients with primary and/or secondary infertility were examined at the Departments of Ultrasound and Functional Radiation Diagnosis, Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, in the period from June 2015 to June 2017. Fallopian tube patency was diagnosed by X-ray and ultrasound hysterosalpingographies with different types of contrast and their diagnostic efficiency was analyzed.
Results. The results and diagnostic characteristics of X-ray and ultrasound hysterosalpingographies in the diagnosis of fallopian tube patency were analyzed. The obtained results of a sensitivity of 90.3% and a specificity of 83.3% allow us to characterize ultrasound hysterosalpingography using contrast agents as an effective diagnostic technology.
Conclusion. The investigation indicated that contrast-enhanced echohysterosalpingography under transvaginal echography guidance, which was used to evaluate fallopian tube patency in women with tuboperitoneal factor infertility, could achieve full visualization of the fallopian tubes and uterine cavity in 98.8% of cases, which made it possible to effectively diagnose the anatomical status of the fallopian tubes and to determine further management tactics for infertile patients.
Keywords
hysterosalpingography
ultrasound study
echo contrast agent
fallopian tube patency
References
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Received 11.12.2017
Accepted 22.12.2017
About the Authors
Alexander N. Sencha, MD, PhD, Head of the Visual Diagnostic Department 4, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Oparina str. 4. Tel.: +79688449015. E-mail: senchavyatka@mail.ruVladimir G. Bychenko, Head of the department of radiation diagnostics, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Oparina str. 4. Tel.: +74954387647. E-mail: v_bychenko@oparina4.ru
Elena P. Fedotkina, doctor of the department of ultrasound and functional diagnostics, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Oparina str. 4. E-mail: e_fedotkina@oparina4.ru
Valery I. Oleinik, Radiologist, Department of Radiation Diagnostics, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Oparina str. 4. Tel.: +74954382422. E-mail: v_oleinik@oparina4.ru
Egor M. Syrkashev, M.D., Researcher of the Radiology Department, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Oparina str. 4
For citations: Sencha A.N., Bychenko V.G., Fedotkina E.P., Oleinik V.I., Syrkashev E.M. Echohysterosalpingography using the contrast agent SonoVue is an effective technology for evaluation of fallopian tube patency. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (6): 63-9. (in Russian)
https://dx.doi.org/10.18565/aig.2018.6.63-69
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