CAJ | 학술논문

目的探讨子宫输卵管造影(HSG)的X线表现.方法总结我院112例不孕症患者经临床、宫腹腔镜、HSG复查等证实X线造影资料,分析输卵管充盈、显影、形态、对比剂溢出及弥散等输卵管粘连的造影征象.结果 112例输卵管粘连134条,其中临床、宫腹腔镜、HSG复查等证实初次HSG漏诊输卵管不同程度粘连23条;134条中合并壶腹部阻塞12条,伞端阻塞输卵管积水18条,输卵管狭窄17条,无明显狭窄、阻塞输卵管粘连87条;无明显狭窄、阻塞87例中轻度扩张75条,上举43条.输卵管粘连主要表现为线团样盘曲、扭曲、僵直、毛糙、轻度扩张、伞端对比剂溢出不流畅.结论输卵管粘连HSG具有较典型X线表现.
목적 탐토자궁수란관조영(HSG)적X선표현.방법 총결아원112례불잉증환자경림상、궁복강경、HSG복사등증실X선조영자료,분석수란관충영、현영、형태、대비제일출급미산등수란관점련적조영정상.결과 112례수란관점련134조,기중림상、궁복강경、HSG복사등증실초차HSG루진수란관불동정도점련23조;134조중합병호복부조새12조,산단조새수란관적수18조,수란관협착17조,무명현협착、조새수란관점련87조;무명현협착、조새87례중경도확장75조,상거43조.수란관점련주요표현위선단양반곡、뉴곡、강직、모조、경도확장、산단대비제일출불류창.결론 수란관점련HSG구유교전형X선표현.
Objective To explore the X-ray manifestation of oviduct adhesion by hysterosalpingography(HSG). Methods Take a retrospective analysis of the X-ray imaging data of 112 cases of salpingian infertilities who has made a HSG in our hospital. The data were verified by clinical, laparoscopy and hysteroscopy, second HSG, and so on. And analyze the radiography signs, such as the turgor, develop and form of oviduct, the overflow and dispersion of contrast agent. Results There were 134 oviducts with adhesion in 112 cases. And 23 of then with varied degrees adhesion that were not confirmed by first HSG were verified by clinical data, laparoscopy and hysteroscopy,second HSG. In 134 oviducts, 12 with ampulla obstruction, 18 with a hydrosalpinx happened in the fimbrea end, 17 with oviduct stenosis, 87 with adhesion and without obvious stenosis or obstruction. In the 87 cases, there were 75 with mild expand, 43 with upthrow. Twist, angulation, rigor, coarse, mild expand, unsmooth with contrast overflow in fimbrea end were the major manifestations. Conclusions For oviduct adhesion, HSG is sensitive for its X-ray manifestation.