摘要
目的探讨100PSI注射子宫输卵管造影(hysterosalpingography,HSG)对输卵管阻塞性不孕症的诊断和治疗价值。资料与方法1154例不孕症患者中原发性不孕346例,继发性不孕808例,高压注射器,压力100PSI(1PSI=6.895kPa)。结果 HSG检查后,966例子宫大小、形态未见异常,51例鞍形子宫,116例宫腔不同程度黏连,5例宫颈内口异常,8例单角子宫,4例不完全纵隔子宫,3例双子宫、双宫颈、双阴道,1例黏膜下肌瘤;输卵管先天缺如占0.35%(8/2241),宫外孕切除占2.56%(59/2241),未见异常占13.20%(296/2241),炎症通畅者占32.74%(637/2241),通而不畅占25.76%(501/2241),间质部闭塞占18.05%(351/2241),峡部闭塞占3.86%(72/2241),壶腹部闭塞占18.82%(366/2241),伞端周围黏连占0.77%(15/2241);2例既往对比剂滞留,盆腔静脉逆流275例。结论 100PSI注射器推注对比剂有利于规范化操作,显示输卵管再通率及图像效果佳,提高子宫输卵管疾病诊断水平,降低卵巢辐射剂量,具有普遍推广使用意义。
Objective To investigate the diagnostic and therapeutic value of 100PSI hysterosalpingography on tubal infertility. Materials and Methods 1154 cases with infertility received 100PSI HSG,including primary in 346,secondary in 808. Results Of 1154 cases,966 normal uterus were found,51 Saddle-type uterus,116 more or less adhesion,5,8,4,3 patients had cervix abnormal,unicorn,uncompleteable mediastinum and double uterus respectively,and 1 patient had myoma submucosum.Tubal absence was seen in 0.35%,resection in 2.56%,normal in 13.20%,inflammation with unobstructed in 32.74%,little obstructed in 25.76%,interstitial portion obstruction in 18.05%,isthmus obstruction in 3.86%,ampulla obstruction in 18.82%,umbrella obstruction in 0.77%;contrast medium were remained in 2 patients,plex reflux were found in 275 patients. Conclusion 100PSI HSG is useful for regular administration,high quality images and it can reduce ovary exposure dose.
出处
《临床放射学杂志》
CSCD
北大核心
2010年第10期1394-1396,共3页
Journal of Clinical Radiology
基金
十一.五国家科技支撑计划重大课题基金资助项目(编号:2007BAI20B01)
