Dopplerography of Fallopian tubes

Where to make ultrasound of the fallopian tubes, who is assigned the study and how does it pass? So, ultrasound scanning or echogropituation is assigned to patients with suspected infertility and to check the patency of the fallopian tubes. For the study in the uterine cavity a special solution is introduced, which fills the uterine tubes and gradually enters the abdominal cavity. Due to this, it is possible to consider the relief, the presence of constrictions, obturation of the lumen of the uterine tube and the degree of their expression.

Diagnosis is performed before ovulation, that is, in the initial phase of the menstrual cycle. For a more accurate result of the study, it is necessary to prepare. First, to exclude infectious-inflammatory diseases of genital organs, since ultrasound can generalize the inflammatory process. A few days before the procedure, it is worth noting products that cause increased gas production. It is not superfluous to be a cleansing enema.

[1], [2], [3], [4], [5], [6], [7]

Ultrasound signs of uterine pathology

Ectopic pregnancy

The frequency of ectopic pregnancy has increased in recent years. Ectopic pregnancy should be suspected with an increase in the level of B-chorionic gonadotropin above 6500 mlUd and the presence of an empty uterine cavity. Approximately 96% of all ectopic pregnancies are located in the fallopian tubes, usually in the ampullar department. Ultrasonic of the fallopian tubes plays an additional role in the diagnosis of ectopic pregnancy, since fetal activity can be detected only in 10% of cases. If the ectopic pregnancy is suspected in the clinical picture and in the examination of the appendages, ultrasound is characterized by a typical echogenic ring structure in addition to chorionic vascularization.

[8], [9], [10], [11], [12], [13], [14], [15]

Infertility

Tubal factor is responsible for 1/3 of cases of female infertility. Ultrasonic dopplerography of the fallopian tubes with the use of ultrasound contrast agents significantly reduces the cost and risk in the examination for infertility. With overvaginal ultrasound hysterosalpingography for the diagnosis of pelvic inflammatory diseases and galactosemia, the contrast drug (Echovist 200) is inserted into the uterus cavity through the cervical catheter.

After this, ultrasound is performed in B-mode to determine the internal structure of the uterine cavity and to exclude anomalies (cloisonne or arch-shaped uterus, etc.). You can also visualize submucous fibroids and polyps inside the uterine cavity. Then the injected contrast drug spreads through the horn, isthmus and ampulla of the fallopian tubes. If the tubes are kept intact, it enters the abdominal cavity and collects in blind bags. In the presence of sactosalpinx, the contrast agent widens the fallopian tubes and does not reach the blind sacs.

If the fallopian tube is blocked at the level of the isthmus, the contrast substance does not enter the tube at all. If the passage of the contrast drug from the distal end of the tube is in question, ultrasound can help determine its progress. This method has a sensitivity of about 90%, and when it is used, it is possible to avoid invasive laparoscopy.

Where to make ultrasound of the fallopian tubes?

Kiev:

• The network of medical clinics "Viva" - ul. Lavrukhina, 6, tel. [phone].
• Clinic "Harmony of Health" - st. O. Pchilki, 2, tel. [phone].
• Medical clinic "Stolichnaya" - st. Lepse, 4A, tel. [phone].
• Medical Clinic Oxford Medical - ul. Pavlovskaya, 26/41, tel. [phone].
• Medical Center "Euroclinic" - st. Melnikova, 16, tel. [phone].

Moscow:

• Center for Endosurgery and Lithotripsy - Highway of Enthusiasts, 62, tel. [phone].
• Clinic «Expert Clinics» - st. Bolshaya Polyanka, 43, tel. [phone].
• Amrita Medical Center - Novinsky Boulevard 8, tel. [phone].
• The Research Institute of Preventive Medicine - Peturovigsky lane, 10, tel. [phone].
• Polyclinic of the Ministry of Economic Development of Russia No. 2 - Lomonosovsky Avenue, 43, tel. [phone].

St. Petersburg:

• Center of Fetal Medicine - st. Siqueiros, 10
• Clinic MedLab - Fermskoe highway, 23.
• Hospital of St. Great Martyr George (the first surgical department) - Severny prospect, 1, tel. [phone].
• Center for Family Planning and Reproduction - ul. Zhukovsky-Volyn, 4, ph. [phone].
• MedSwiss Medical Center - ul. Gakkilevskaya, 21, tel. [phone].