Procedures of Contrasting Ultrasound Investigation of the Woman Reproductive System
The research aim was an increase of diagnostic accuracy and values of a method of transvaginal sonography in visualization of main factors of female infertility and complex estimation of the woman reproductive system. A stepwise procedure of the state of hollow organs (patent № 2290067) and procedure of diagnostics of changes of myometrium (patent № 2307590) are proposed. Were investigated 1 541 woman with the diagnosis of infertility (2 943 fallopian tubes): 2 429 (82,5 %) fallopian tubes were patency, 325 (11,1 %) - were blockage in distally portions, 189 (6,4 %) - were blockage in intramural and isthmic portions. In last group were registered 59 falsepositive results (2 % from a total number of occurring tubes). 163 cases of an adenomyosis, 38 endometrial polyps, 18 cases of intrauterine adhesions, 276 uterine anomalies, 48 submucosal leiomyomas 0-2 type, 27 «thin» scars of myometrium are detected. The offered procedures contrast sonography with applying 0,15-0,33 % hydrogen peroxide solution as a sonopositive intrauterine ultrasound contrast medium have 100 % sensitivity, high specificity (95,2 %) and diagnostic accuracy (96,1 %). The advantages of the present diagnostic tool are discussed in detail.