DSA子宫输卵管造影诊治不孕症的价值探讨

目的探讨利用数字减影血管造影机进行子宫输卵管造影对不孕症的诊断和治疗价值。材料与方法在西门子Angio-plus血管造影机上完成2336例子宫输卵管造影,对造影结果进行分析。结果典型的病变影像学表现为先天性子宫输卵管发育异常如单角,幼稚子宫,输卵管迂曲延长,上举;输卵管扩张积水;输卵管阻塞;输卵管不完全阻塞,通而不畅;输卵管管腔狭窄,宫腔内黏连,充盈缺损,宫体极度倾斜;造影剂周围淋巴和静脉逆流。其中有320例造影正常不孕患者术后2~6个月自然受孕。结论利用数字减影血管造影机子宫输卵管造影可多体位投照,连续动态观察,显影清晰,便于采集、存储、传输和进行图像处理;子宫输卵管造影不仅提供诊断信息,造影后再通液进行宫腔内和输卵管管腔的冲洗有助受孕。

The Diagnostic and Therapic Value of DSA Hysterosalpingography on Infertility

Purpose:To investigate the diagnostic and therapic value of DSA hysterosalpingography on infertility.Materials and Methods:2336 cases hysterosalpingography were performed on Siemens Angio-plus,All the X ray appearence were analysed.Results:The typical abnormal imaging appearance were:congenital uterus and fallopian tube malformation,such as unicornuate uterus,infant uterus,fallopian tube circuity and protraction,fallopian tube running up high;fallopian tube dilation and hydrocele;fallopian tube block;fallopian tube no complete block,uterine cavity tissue conglutination and filling defect;uterine body severe inclination;contrast agents lymphytic and venous refluence and so on.320 patients with normal X appearance become pregnant 2-6 months after hyserosalpingography.Conclusion:Using DSA for hysterosalpingography can take image from different position,the image can be viewed continued and dynamic.The image was clear and easy to collect,store,transmit.Hysterosalpingography provide not only diagnostic information but also be benefit for the gestation because of the flushing of recanalization liquid to the uterine cavity and fallopian tube.