子宫输卵管MRI造影技术的探讨及临床价值(与X线造影对照)  

The Evaluation and Clinical Values of MRI Hysterosalpingography(Correlating with X-ray)

作　　者：徐文[1] 何润月 黎见明[1] 郑晓林[1] 

机构地区：[1]东莞市人民医院普济分院放射科,广东东莞523000

出　　处：《中国CT和MRI杂志》2014年第1期105-107,共3页Chinese Journal of CT and MRI

摘　　要：目的探讨磁共振子宫输卵管造影技术诊断输卵管病变的临床价值。方法对10例不孕女性患者先后行常规X线子宫输卵管造影术和MRI子宫输卵管造影检查。MR子宫输卵管造影方法是经阴道分别注入0.9%生理盐水后行T2WI、注入稀释钆喷酸葡胺后行T1WI的多期动态扫描。观察及比较三种成像的表现。结果 X线-HSG和MRI-HSG均能显示输卵管阻塞(单侧阻塞和双侧)、输卵管积水,及卵管通畅。MR-HSG水与对比剂成像和传统X线HSG显示两侧输卵管通畅性较一致,同时能显示盆腔结构与有关病变。结论 MR-HSG结合常规MRI,明显优于传统X线-HSG,其中稀释钆喷酸葡胺MR造影对输卵管的显示较水MR造影更直观、清楚。Objective To evaluate the clinical value of MRI-hysterosalpingography in diagnosing oviduct diseases. Methods X-hysterosalpingography and MRI-hysterosalpingography were orderly perfomed in 10 women patients suffered from barrener. In MRI-hysterosalpingography, 0.9% NaCl liquor and diluted Gadonilin were injected into uterus cavity, then multi-phase T2WI and T1WI were done respectively. The imaging of three methods were observed and compared. Results The oviductal obstruction, hydrocele, normal oviduct could be showed in both X-hysterosalpingography and MRI-hysterosalpingography. The results of MRI-hysterosalpingography（ T2WI and T1WI） were in accord with that of X-hysterosalpingography. Moreover, MRI-hysterosalpingography could display pelvis anatomy and relative diseases. Conclusions MRI-hysterosalpingography combining routine MRI were better than X-hysterosalpingography. And the T1WI was more intuitionistic and clearer than that of T2WI in displaying oviduct.

关 键 词：MRI子宫输卵管造影 X线子宫 输卵管造影 输卵管病变 不孕症 

分 类 号：R711[医药卫生—妇产科学]