数字化子宫输卵管造影在不孕症诊断中的应用  

Application of digital radiography hysterosalpingography in the diagnosis of infertility

作　　者：杨凯[1] 谈旭东[1] 吴捷[1] 秦方辉[1] 汪洋[1] 林林[1] 

机构地区：[1]苏州大学附属第四医院无锡市第四人民医院影像科,江苏无锡214062

出　　处：《实用医学影像杂志》2005年第5期283-285,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨子宫输卵管造影过程中,数字化成像对减小医生和患者所受X线辐射剂量的价值。方法对234例不孕症采用数字透视作子宫输卵管造影检查,并连续记录3个月中病人每次检查所需的X线曝光时间。结果子宫输卵管均正常者86例(36.7%),单纯输卵管疾患112例(47.8%),单纯子宫疾患17例(7.2%),子宫粘连合并输卵管阻塞14例(6.0%),子宫畸形合并输卵管阻塞3例(1.3%)。连续记录86例每次检查X线曝光时间为63s～212s,平均106s。结论数字化子宫输卵管造影配合造影方法上的改进,不仅可获得满意的诊断图像,并且可以大大减小医生和患者所受的X线辐射剂量。Objective To evaluate the value of digital radiography for decreasing the X- ray radiation doses received by patients and doctors during hysterosalpingography. Methods Two hundred and thirty - four patients with secondary infertility were examined with digital fluoroscopy and the X - ray exposure times were recorded continuously for each case within three months. Results Normal uterus and uterine tube was found in 86 cases（36. 7 % ）, simple uterine tube disease in 112 （47.8 % ）, simple uterus disease in 17 （7.2 % ）, uterus adhesion associated with obstruction of uterine tu｜）e in 14 （6.0 % ）, and uterus deformity associated with obstruction of uterine tube in 3 （ 1.3 % ）. The X- ray exposure times recorded continuously for each patient ranged between 63 s and 212 s with an average of 106 s. Conclusion The integration of digital hysterosalpingography and improvement of the method can not only acquire satisfactory images but can greatly reduce the X - ray exposure doses received by patients and doctors during the radiography.

关 键 词：不孕症 子宫输卵管造影 数字化 X线辐射 

分 类 号：R816.91[医药卫生—放射医学]