磁共振子宫输卵管造影在女性不孕症诊断中临床应用.docVIP

磁共振子宫输卵管造影在女性不孕症诊断中临床应用[摘要] 目的：探讨磁共振子宫输卵管造影（MR hysterosalpingography, MR-HSG） 在女性不孕症诊断中的应用价值。方法：对26例女性不孕患者行常规MRI平扫，注入对比剂后应用Time-Resolved Imaging of Contrast Kinetics（TRICKS）技术行常规增强扫描。结果：23例患者顺利完成MR-HSG检查，子宫、输卵管正常者11例，单侧输卵管阻塞者5例，双侧输卵管阻塞者7例，输卵管阻塞者在腹腔镜下得到证实。结论：宫颈管插入术和宫腔内注入钆喷酸葡胺（Gd-DTPA）注射液进行MR-HSG是可行的，能全面了解子宫、卵巢的情况和输卵管通畅性，为女性不孕症临床诊断提供重要依据。 [关键词] 磁共振成像；子宫输卵管造影；女性不孕症；输卵管通畅 [中图分类号] R445.2 [文献标识码]C[文章编号]1673-7210（2011）03（c）-087-02 Clinical application of magnetic resonance hysterosalpigography in the diagnosis for female infertility ZHAO Na1, NIU Jinliang2, WANG Xianping3, WANG Yonghong4 1.Shanxi Medical University, Shanxi Province, Taiyuan 030001, China; 2.Department of Radiology, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030013, China; 3.Department of Obstetrics and Gynecology, Women Health Center, Shanxi Province, Taiyuan 030013, China; 4.Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030013, China [Abstract] Objective: To discuss the clinical values of MR hysterosalpigography for the diagnosis of female infertility. Methods: Twenty-six consecutive infertile women underwent MR-HSG: including routine plain MRI and routine contrast enhanced MRI was performed with TRICKS technique. Results: MR-HSG was successfully completed in 23/26 patients with an average study time of 50 min. The uterine cavity was completely visualized and bilateral fallopian tube patency was confirmed by MR-HSG in 11 of 23 patients. 5 patients were diagnosed by unilateral fallopian tube occlusion. Bilateral tubal occlusion was diagnosed in 7 patients and was confirmed by laparoscopy. Conclusion: MR-HSG with cervical cannulation and intracavitary gadolinium injection is feasible and allows assessment of the uterus, the fallopian tubes, and extra-uterine pelvic structures, while acquires the significant imagings for female infertility. [Key words] Magnetic resonance imaging; Hysterosalpingograp