Hystero-Salpingo-Kontrastsonographie mit 3D-Ultraschall: eine Pilotstudie

Abstract

It is possible to visualise the full length of the tubes in a very detailed way from the uterine cavity to the fimbrial end in some patients, but the diagnostic power of HyCoSy is not improved by adding 3D-imaging. The accuracy of 3D-ultrasound seemed to be improved by 3D-Doppler-ultrasound.

Three-Dimensional Hysterosalpingo-Contrast-Sonography for the Assessment of Tubal Patency in Women with Infertility: A Systematic Review with Meta-Analysis

“…One study using 2D-HyCoSy as reference standard was excluded because a 2 × 2 table could not be constructed [8]. Therefore, 9 studies were ultimately included in this systematic review [13,14,15,16,17,18,19,20,21]. No additional studies were found from references cited in the papers included in the review.…”

“…Three studies used HSG or 2D-HyCoSy as reference standard [13,14,16] as there was a risk of bias since this test is not have 100% sensitivity and specificity. Three studies gave no information or created doubts regarding flow and timing [14,15,16]. Regarding applicability, all the studies applied clear inclusion criteria for patient selection.…”

“…All the studies were prospective. Regarding contrast agent, 2 studies used sterile saline solution [14,16], 3 used a galactose solution (Echovist, ScheringAG, Berlin, Germany) [15,17,18] and 4 used sulphurhexafluoride solution (SonoVue, Bracco, Milan, Italy) [13,19,20,21]. Patients' age ranged between 19 and 42.…”

Three- or four-dimensional hysterosalpingo contrast sonography for diagnosing tubal patency in infertile females: a systematic review with meta-analysis

“…Among them, 3 articles were published in English, 9,11,12 1 article in German, 17 1 article in Romanian 18 and 18 articles in Chinese. 10,[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] 3 studies were conducted in Caucasians and 11,17,18 20 studies were performed in Chinese. 16 and 7 studies reported the diagnostic accuracy of 3D and 4D HyCoSy for detecting tubal patency in infertile females.…”

Hysterosalpingo‐contrast sonography versus radiographic hysterosalpingography in the evaluation of tubal patency

“…When a negative material, such as a saline solution, is used, the hysterosalpingo-contrast sonography procedure is referred to as HyCoSy [7][8][9][10]. Saline HyCoSy may soon replace HSG as the routine initial test for infertility [11,7] or recurrent spontaneous abortion [12].…”