磁共振子宫输卵管造影在女性不孕症诊断中的临床应用  

Clinical application of magnetic resonance hysterosalpigography in the diagnosis for female infertility

作　　者：赵娜[1] 牛金亮[2] 王仙萍[3] 王永红[4] 

机构地区：[1]山西医科大学,山西太原030001 [2]山西医科大学第二医院影像科,山西太原030013 [3]山西省妇幼保健院妇产科,山西太原030013 [4]山西医科大学第二医院妇产科,山西太原030013

出　　处：《中国医药导报》2011年第9期87-88,共2页China Medical Herald

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。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.

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 

分 类 号：R445.2[医药卫生—影像医学与核医学]