峡部结节性输卵管炎的子宫输卵管造影与病理对照分析  

Correlative study of hysterosalpingography and Pathology of salpingitis isthmica nodosa

作　　者：裘华兴 徐利平 蔡红光 

机构地区：[1]浙江绍兴妇幼保健院放射科,312000

出　　处：《放射学实践》2001年第2期101-103,共3页Radiologic Practice

摘　　要：目的 :进一步认识峡部结节性输卵管炎 (SIN)的子宫输卵管造影 (HSG)表现 ,提高诊断准确率 ,为此病的初步诊断提供影像学方法。方法 :对 2 8例经病理证实的SIN的子宫输卵管造影资料进行回顾性分析 ,并与病理组织进行对照。结果 :2 8条确诊为SIN的输卵管的HSG表现为 :① 15支间质部、峡部纤细 ,显影断续 ,逐渐中断 ;② 6支输卵管显影断续 ,边缘毛糙呈“小龛影样” ;③ 4支间质部、峡部增粗呈棒状 ,远端显影中断 ;④ 2例子宫角部不规则“息肉样”充盈缺损阴影 ,输卵管管径不规则 ;另有 1支表现为伞部轻度积水。结论 :HSG诊断SIN ,简便、有效、无创伤性 。Objective:To study hysterosalpingographic features of salpingitis isthmica nodosa (SIN) in order to improve the diagnostic accuracy. Methods:Hysterosalpingographic findings of salpingitis isthmica nodosa proved pathologically were analyzed retrospectively in 28 patients and correlated to pathological findings.Results:The main hysterosalpingographic findings of SIN were as follows:①Interstitial or/and isthmic portion appeared fine,discontinuous and gradually occluded in 15 tubes;②Fallopian tube appeared discontinuous and its wall showed irregular and small niche like appearance in 6 tubes.③Cylindrical ectasia of interstitial and isthmic portion and cut off of their distal end in 4 tubes.④Irregular polypoid filling defect in cornua uteri and irregular shape of fallopian tube in 2 tubes, and hydrosalpinx at fimbria end in 1 tube.Conclusion:Hysterosalpingography is safe,simple and efficient in the diagnosis of salpingitis isthmica nodosa.

关 键 词：峡部结节性输卵管炎 子宫输卵管造影术 病理学 

分 类 号：R711.76[医药卫生—妇产科学] R816.91[医药卫生—临床医学]