OPTIMIZATION MEANS FOR TUBAL CONTRAST SONOGRAPHIC STUDY
Stepwise hysterosalpingosonography using hydrogen peroxide solution as the sonopositive contrast medium was performed in two groups of infertile women. In comparison group (92 patients) the standard diagnostic procedure of tubal potency was carried out, while in main group (149 patients) it was supplemented by exposure of paraovarial «ampullar» and «fimbrial» points in accordance with fallopian tubes sonoanatomy and by contrast medium flow registration in these points by different Doppler regimes. These techniques increase the sensitivity and accuracy of tubal patency evaluation. The calculation of appropriate uterine cavity volume gives a chance for dosed supply of the contrast medium, so minimizes the side effects during the procedure. Under these improvements the average duration of transvaginal ultrasonographical investigation decreases considerably.