输卵管积液的分型与放射学评价

Types of hydrosalpinx and their radiologic assessment

目的确定输卵管积液的分型并评价其放射学表现。方法560例不孕症妇女(年龄21岁～42岁,平均29岁)在行子宫输卵管选影检查中发现输卵管积液186例。186例输卵管积液患者均经通液加压治疗,并依据X线像上输卵管积液累及的部位与严重程度进行分类。结果在X线像上,输卵管积液仅表现为伞部扩张积液定义为Ⅰ度,见于42例;伞部和壶腹部扩张积液Ⅱ度,见于116例;伞部,壶腹部和峡部同时扩张积液为Ⅲ度,见于28例。结论子宫输卵管选影术和导管再通术能准确评价输卵管积液的累及部位与严重程度,因而有助于指导不孕症的临床治疗。

Objective To determine the types of hydrosalpinx and to assess their radiologic findings. Methods A hundred and eighty -six patients（aged 21 -42 years, mean age, 29 years）with hydrosalpinx were found in 560 women who underwent the hysterosalpin- gography for infertility and then they received catheter recanalization using aqueous solution and compression. Based on the involved locations and severity of hydrosalpinx, the lesions in all patients were divided into three types. Results On X - ray images, hydrosalpinx which presented only dilatation and hydrops of umbrella part（ n =42） was defined as degree Ⅰ, dilatation and hydrops of umbrella and ampullar part （ n = 116） as degree Ⅱ, and dilatation and hydrops of umbrella, ampullar and isthmic part（ n = 28） as degree Ⅲ. Conclusion Hysteresalpin- gography and catheter recanalization can accurately assess the involved locations and severity of hydresalpinx so that the both modalities are very helpful to guide the clinical treatment of female infertility.