子宫输卵管X线影像造影诊断不孕症应用探讨

The womb fallopian tube radiography angiography in the diagnosis of infertility application discussion

目的:探索子宫输卵管在进行X线造影诊断的时候所呈现出的影像学的表现。方法:选择2009～2011年进行X线造影检查的73例患者的资料。通过对患者子宫输卵管造影扫描图像进行分析,进而讨论X线对于诊断患者的不孕不育症所呈现的影像的表现。结果:在就诊的73例不孕不育症的患者中,单侧输卵管通畅者10例,约占13.7%;双侧输卵管通畅者8例,约占10.9%;子宫畸形2例,约占2.7%;单侧输卵管积水5例,约占6.8%;双侧输卵管积水9例,约占12.3%;单侧输卵管阻塞并积水25例,约占34.2%(其中不完全梗阻并积水11例,占输卵管总数的15%,完全梗阻并积水14例,占输卵管总数的19.2%);双侧输卵管阻塞并积水14例,约占19.2%(其中不完全梗阻并积水9例,占输卵管总数的12.3%,完全梗阻并积水5例,占输卵管总数的6.8%)。结论:X线对于患者子宫输卵管的检查是一种较好的方式,应该在临床中进行推广。

Objective To explore the womb fallopian tube radiography diagnosis when in the imaging performance.Methods During the period 2009 ～2011 X-ray angiography in 73 patients with information.With the help of the womb fallopian tube radiography scanning images were analyzed,and then discussed the radiography for diagnosis in patients with infertility the image performance.Results In the treatment of 73 cases of infertility patients,unilateral tubal patency in 10 cases,accounting for about 13.7% of bilateral tubal patency;in 8 cases,about 10.9%;uterine malformation in 2 cases,accounting for about 2.7%;in 5 cases of unilateral hydrosalpinx,accounted for about 6.8%;in 9 cases of bilateral fallopian tube ponding,about 12.3%;unilateral fallopian tube obstruction and hydronephrosis in 25 cases,accounting for about 34.2%(including incomplete obstruction and hydronephrosis in 11 cases,accounting for 15% of the total number of fallopian tube,complete obstruction and hydronephrosis in 14 cases,accounting for 19.2% of the total number of fallopian tube);fallopian tube obstruction and hydronephrosis in 14 cases,accounting for about 19.2% of(which are not completely obstruction and hydronephrosis in 9 cases,accounting for 12.3% of the total number of fallopian tube,complete obstruction and hydronephrosis in 5 cases,accounting for 6.8% of the total) of fallopian tube.Conclusion X-ray for patients with uterine tubal inspection is a better way,should be used in clinical.