What are the advantages and disadvantages of intrauterine infusion ultrasound?

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Intrauterine infusion ultrasound (SIS) is a highly sensitive diagnostic test that detects pathologies or abnormalities in the uterine cavity and fallopian tubes. However, like other ultrasound methods of the uterus, IUD has certain advantages and disadvantages.

1. Overview

1.1. What is Uterine Pump Ultrasound?
Uterine infusion ultrasound (SIS) is a medical test that helps evaluate the inside of the uterus by injecting a volume of physiological saline, air, or another negative contrast material through the vagina into the uterus. bow, then use an ultrasound probe to observe.
1.2. Procedure
Procedure time: Lasts from 10-30 minutes depending on the patient. Taken at the beginning of the cycle or after the menstrual period is clear. Position: The patient will be instructed to lie down during the procedure. Procedure: The doctor accesses the vagina by inserting a speculum, inserting a small tube through the cervix into the uterine cavity, then injecting sterile (hypoallergenic) saline into the uterine cavity. Next, the doctor will insert the vaginal probe into the ultrasound and look for abnormalities in the uterine cavity. 1.3. Indication case
Uterine pump ultrasound is often applied to evaluate the uterine lumen before and after surgery. At the same time, it is also indicated when there are abnormalities that cannot be observed by routine ultrasound such as:
Fibroids of the uterus; Endometrial polyps ; Congenital malformation of the uterus; Adhesive uterine cavity ; Menorrhagia, bleeding with no known cause; Abnormal vaginal bleeding; Infertility (infertility) of unknown cause; Repeated miscarriage; Patients taking Tamoxifen or hormone replacement cause abnormal blood.

2. Advantages and disadvantages

2.1. Advantages of hysterosalpingogram
If hysterosalpingography (HSG) is the leading imaging method to help evaluate the status of the fallopian tubes, it is limited in detailed evaluation. uterine cavity, intrauterine infusion ultrasound is a highly sensitive test to detect abnormalities in this area.
Compared with the method of taking the uterus and fallopian tubes by radiography, ultrasound has many advantages such as:
Simple procedure; Affordability; Safe, not affected by radiation; High accuracy (less false positives, especially for intrauterine tumors); Helps to observe the uterus, indirectly evaluate the fallopian tubes, abnormal conditions of the uterus - ovaries such as endometrial polyps, submucosal fibroids, blocked fallopian tubes... It is a very safe procedure, with very few serious complications. The most common serious complication of intrauterine intubation is pelvic infection, however the risk occurs in less than 1% and is common in patients with tubal inflammation.
2.1. Disadvantages of Uterine Infusion Ultrasound
After performing an ultrasound of the uterus, patients may experience some symptoms such as:
Slightly dull pain in the lower abdomen (due to mild contractions); Light bleeding; Vaginal discharge. All of the above symptoms are normal and will subside. However, if the patient feels more pain, has a foul-smelling vaginal discharge, changes color, and has a fever after performing an ultrasound, the doctor should be informed immediately for instructions on how to handle it.
Another disadvantage of uterine pump ultrasound is that it is not applicable in the following cases:
People who are pregnant or suspected of being pregnant; People with signs of pelvic inflammatory disease. Patients with heavy bleeding are not a contraindication, but if used, there are some difficulties in assessing intrauterine abnormalities (because clots can be confused with actual tumors). body).

In addition, there are some situations where it may be difficult to insert a catheter through the cervix including:
Cervical stenosis; The patient has never given birth; The patient has had a cone-resection or a cervical cauterization procedure; The patient is in menopause or has gone through menopause. In general, besides the disadvantages, intrauterine infusion ultrasound is still considered an effective imaging method to help observe pathologies and abnormalities in the uterus and fallopian tubes. Currently, Vinmec International General Hospital is one of the leading prestigious hospitals in the country, trusted by a large number of patients for medical examination and treatment. Not only the physical system, modern equipment: 6 ultrasound rooms, 4 DR X-ray rooms (1 full-axis machine, 1 light machine, 1 general machine and 1 mammography machine) , 2 DR portable X-ray machines, 2 multi-row CT scanner rooms (1 128 rows and 1 16 arrays), 2 Magnetic resonance imaging rooms (1 3 Tesla and 1 1.5 Tesla), 1 room for 2 levels of interventional angiography and 1 room to measure bone mineral density.... Vinmec is also the place to gather a team of experienced doctors and nurses who will greatly assist in diagnosis and detection. early signs of abnormality in the patient's body. In particular, with a space designed according to 5-star hotel standards, Vinmec ensures to bring the patient the most comfort, friendliness and peace of mind.

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