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子宫输卵管造影术诊断先天性子宫畸形的优势与限度
引用本文:林宜圣,周伟生,王芳军,严英,李海凤,鲁琳.子宫输卵管造影术诊断先天性子宫畸形的优势与限度[J].中国介入影像与治疗学,2008,5(4):261-264.
作者姓名:林宜圣  周伟生  王芳军  严英  李海凤  鲁琳
作者单位:1. 广州中医药大学第一附属医院介入放射科,广东,广州,510405
2. 广州中医药大学第一附属医院妇科,广东,广州,510405
摘    要:目的探讨HSG对先天性子宫畸形的诊断价值与限度。方法回顾分析68例经MRI、腹腔镜、宫腔镜检查或开腹手术证实的病例,分析其HSG表现和误诊情况。结果HSG诊断子宫畸形的符合率较高,误诊率为17.6%,其中单角子宫、双角子宫和纵隔子宫的误诊率较高。结论HSG可直观的判断子宫畸形的类型,诊断价值高,应作为首选诊断方法。但对于部分类型子宫畸形较难鉴别;检查时须细致、慎重,必要时须结合其他检查避免误诊。

关 键 词:畸形  子宫输卵管造影术  不育  女性  诊断
收稿时间:3/1/2008 12:00:00 AM
修稿时间:2008/3/21 0:00:00

Advantages and limits of hysterosalpingography in the diagnosis of congenital uterine malformation
LIN Yi-sheng,ZHOU Wei-sheng,WANG Fang-jun,YAN Ying,LI Hai-feng and LU Lin.Advantages and limits of hysterosalpingography in the diagnosis of congenital uterine malformation[J].Chinese Journal of Interventional Imaging and Therapy,2008,5(4):261-264.
Authors:LIN Yi-sheng  ZHOU Wei-sheng  WANG Fang-jun  YAN Ying  LI Hai-feng and LU Lin
Abstract:Objective To study the advantages and limits of hysterosalpingography(HSG) in the diagnosis of congenital uterine malformation.Methods HSG appearances of 68 paitients with congenital uterine malformation confirmed by MRI,laparoscope,hysteroscopy or operation were analyzed retrospectively.Results The misdiagnosis rate of HSG in 68 patients with congenital uterine malformation was 17.64%,particularly of unicornuate uterus,uterus bicornis and uterus septus.Conclusion HSG is a valuable method of diagnosing congenital uterine malformation,but it should be performed seriously to avoid misdiagnosis caused by its limits.
Keywords:Abnormalities  Hysterosalpingography  Infertility  female  Diagnosis
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