Echohysterosalpingography using the contrast agent SonoVue is an effective technology for evaluation of fallopian tube patency


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Abstract

Objective. The paper highlights the issues associated with the possibility of using echohysterosalpingography with ultrasound contrast agents to diagnose fallopian tube patency. 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.

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About the authors

Alexander N. Sencha

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: senchavyatka@mail.ru
MD, PhD, Head of the Visual Diagnostic Department 4

Vladimir G. Bychenko

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: v_bychenko@oparina4.ru
Head of the department of radiation diagnostics

Elena P. Fedotkina

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: e_fedotkina@oparina4.ru
doctor of the department of ultrasound and functional diagnostics

Valery I. Oleinik

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: v_oleinik@oparina4.ru
Radiologist, Department of Radiation Diagnostics

Egor M. Syrkashev

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

M.D., Researcher of the Radiology Department

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