摘要
目的探讨B超输卵管造影对交通性输卵管积水的诊断价值。方法对14例B超检查发现附件区无回声区的女性不育患者应用维生素B6注射液与碳酸氢钠注射液混合液进行B超声学造影。如果附件区液性暗区可见声学造影剂呈旋涡状流动,且在卵巢附近无瀑布状回声,提示该液性暗区为交通性输卵管积水。其中,10例患者接受手术,将手术所见与B超造影结果进行对照。结果所有14例患者B超造影均显示附件区液性暗区侧输卵管阻塞,3例患者附件区液性暗区对侧输卵管也显示阻塞。10例患者附件区液性暗区中可见显影剂旋涡状流动。在10例接受手术病例中,除一例因盆腔严重粘连未明确是否存在输卵管积水外,其余9例均手术证实输卵管积水。结论对B超扫描发现附件区液性暗区的病例进行B超声学造影,如造影结果显示输卵管阻塞,同时液性暗区内见造影剂呈旋涡状流动,对交通性输卵管积水有诊断意义。
Objective To discuss the diagnostic value of hysterosalpingography by ultrasound to communicating hydrosalpinx.Methods Hysterosalpingography by ultrasound with a mixed fluid of vitamin B6 injection and sodium bicarbonate injection was done in 14 infertile females in whose adnexa area non-echo structure were found.If the sonic contrast eddied in the non-echo structure in adnexa area and no waterfall-like echo was observed in the area adjacent to the ipsilateral ovary,the non-echo structure was diagnosed as communicating hydrosalpinx.Surgery was performed on 10 cases.The results of hysterosalpingography by ultrasound were compared with the findings in operation.Results All 14 cases showed obstruction of Fallopian tubes on the side of non-echo structure. Of them,3 cases also showed obstruction of contralateral Fallopian tubes.Eddies of sonic contrast were observed in the non-echo structure in 10 cases.Among the 10 cases on whom surgery was performed,hydrosalpinx was confirmed in 9 and not clear in one because of severe pelvic adhesion.Conclusion If obstruction of Fallopian tube was concluded and eddies of sonic contrast observed in the non-echo structure in adnexa area in hysterosalpingography by ultrasound,it is indicative of communicating hydrosalpinx.
出处
《实用医学影像杂志》
2004年第5期277-279,共3页
Journal of Practical Medical Imaging
