摘要
目的:探讨磁共振成像技术在输卵管造影中的诊断价值。方法:选取20名不孕症妇女进行盆腔常规磁共振扫描及磁共振子宫输卵管造影(MR-HSG),20名患者接受前半年均接受过常规的X线下子宫输卵管造影(HSG)检查。常规扫描后患者子宫腔内置入子宫输卵管造影导管后再给予动态Flash-3D冠状位扫描,同时向宫腔内注射1∶100钆双铵稀释液,扫描后数据数字减影重建。结果:20名患者中均成功实施检查。检查结果与检查前常规HSG结果对比,有1例患者,常规HSG下提示左侧输卵管间质部阻塞,而MR-HSG提示该侧输卵管通畅,1例患者常规HSG下提示双侧输卵管积水,双侧输卵管阻塞,在MR-HSG提示双侧输卵管积水,但通畅。另有1例患者,常规X线下输卵管阻塞但MR-HSG提示右侧输卵管通畅,其余患者检查结果同检查前常规HSG结果一致。在MR盆腔平扫过程中能很好的显示盆腔情况及子宫内膜情况,同时很好的显示出子宫畸形的状态,子宫平滑肌瘤以及输卵管积水等盆腔情况。结论:常规MRI平扫结合MR-HSG能很好的显示输卵管、卵巢、子宫及盆腔相关结构,在不孕症的诊断过程中有较高的临床实用价值。
Objective： To discuss the value of MR-hysterosalpingography（HSG） in diagnosing the tubal patency.Methods： A total of 20 infertile women were referred to conventional pelvic scanning by MRI and MR-HSG,and all subjects underwent conventional HSG under fluoroscopy 6 months averagely before MR-HSG.Standard axial,sagittal and coronal T2-weight and axial T1-weight sequences were acquired.A balloon catheter was placed into the uterine cavity and then flash 3D coronal MR scanning was performed,with the uterine injection of diluted Gadodiamide（1：100）.Digital subtraction reconstruction was performed according to the data acquired.Results： The tubal patency in 20 women was successfully evaluated using MR-HSG,and the results were compared with those of conventional HSG.One case showed left interstitial fallopian tube occlusion under the conventional HSG,but showed patency under MR-HSG.Another case with bilateral fallopian tube occlusion and hydrosalpinx under conventional HSG showed only hydrosalpinx but no occlusion under MR-HSG.The third case with bilateral fallopian tube occlusion under X ray had only left side occlusion under MR-HSG.The results by the two methods were similar in the remaining patients.MR scanning on pelvis showed more clearly in pelvic organs,endometrial state,uterus malformation,hysteromyoma,and hydrosalpinx.Conclusion： Routine MRI scan combined with HSG can better display the fallopian tubes,ovaries,uterus and pelvic tissues,so it has a high clinical value in the diagnosis of infertility.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2012年第1期97-100,共4页
Medical Journal of Wuhan University
基金
武汉大学中南医院青年基金第22号资助项目
