输卵管膀胱瘘的子宫输卵管超声造影表现及文献复习  

Hysterosalpingo-contrast sonography manifestations of fallopian tube bladder fistula and literature review

作　　者：陈彩 张琴 孙宇曦 王兴民 易海平 CHEN Cai;ZHANG Qin;SUN Yuxi;WANG Xingmin;YI Haiping(Department of Ultrasound,Liuzhou Maternity and Child Healthcare HospitalAffiliated Maternity Hospital and Children’s Hospital of Guangxi University of Science and Technology,Guangxi Zhuang Autonomous Region,Liuzhou545001,China;Department of Pathology,Liuzhou Maternity and Child Healthcare HospitalAffiliated Maternity Hospital and Children’s Hospital of Guangxi University of Science and Technology,Guangxi Zhuang Autonomous Region,Liuzhou545001,China;Department of Gynaecology,Liuzhou Maternity and Child Healthcare Hospital,Affiliated Maternity Hospital and Children’s Hospital of Guangxi University of Science and Technology,Guangxi Zhuang Autonomous Region,Liuzhou545001,China)

机构地区：[1]广西壮族自治区柳州市妇幼保健院广西科技大学附属妇产医院、儿童医院超声科,广西柳州545001 [2]广西壮族自治区柳州市妇幼保健院广西科技大学附属妇产医院、儿童医院病理科,广西柳州545001 [3]广西壮族自治区柳州市妇幼保健院广西科技大学附属妇产医院、儿童医院妇科,广西柳州545001

出　　处：《中国医药导报》2021年第2期187-190,共4页China Medical Herald

基　　金：广西壮族自治区卫生和计划生育委员会计划课题(Z2015193)。

摘　　要：泌尿生殖道瘘是指泌尿器官与生殖系统之间形成的异常通道。输卵管膀胱瘘属于其中一种罕见类型,先天性病例尚未见报道。本例患者因“不孕症”到广西壮族自治区柳州市妇幼保健院进行子宫输卵管超声造影(HyCoSy)检查发现先天性输卵管膀胱瘘,遂住院进行宫腹腔镜联合膀胱镜手术,术中诊断右侧输卵管膀胱瘘,左侧输卵管发育异常-双腔输卵管。HyCoSy可以观察女性内生殖器的内外结构及周围脏器毗邻关系,评估输卵管通畅性,发现输卵管膀胱瘘,是诊断女性泌尿生殖道畸形的一种较好的方法。Genitourinary fistula is an abnormal channel formed between urinary organs and reproductive system.Fallopian tube bladder fistula is one of the rare types,and congenital cases have not been reported.This patient went to Liuzhou Maternity and Child Healthcare Hospital,Guangxi Zhuang Autonomous Region for hysterosalpingo-contrast sonography(HyCoSy)examination due to“infertility”and found fallopian tube bladder fistula.After hospitalization,she underwent hysteroscopy combined with cystoscopy surgery.During operation,she was diagnosed with the right fallopian tube bladder fistula,and the left double-cavity fallopian tube.HyCoSy can observe the internal and external structures of female internal and external genitalia and the adjacent relationship of surrounding organs,evaluate the patency of the fallopian tubes,and find the fallopian tube bladder fistula,which is a better method for diagnosing female genital genitourinary malformations.

关 键 词：子宫输卵管超声造影 输卵管膀胱瘘 泌尿生殖道瘘 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]