螺旋CT仿真子宫输卵管造影在女性不孕症诊断中的临床应用  

Clinical Application CT Virtual Hysterosalpingography in The Diagnosis of Female Infertility

作　　者：汪韬 王晓彬 李静秋 马超 WANG Tao;WANG Xiao-bin;LI Jing-qiu;MA Chao(Department of Obstetrics and Gynecology,Jiuo3 Hospital,Jiangyou City,Jiangyou 621700,Sichuan Province,China)

机构地区：[1]江油市九○三医院妇产科,四川江油621700

出　　处：《中国CT和MRI杂志》2022年第9期138-140,共3页Chinese Journal of CT and MRI

基　　金：四川省卫生和计划生育科研课题项目(16PJ154)。

摘　　要：目的 探讨64排螺旋CT仿真子宫输卵管造影术相对于传统子宫输卵管造影术的优势及临床价值。方法 选取2016年至2018年我院需做子宫输卵管造影术的不孕女性100例,随机分为两组。实验组接受64排螺旋CT仿真输卵管造影术,对照组接受传统子宫输卵管造影术。比较两组患者术中疼痛程度及医患所接受辐射剂量、术后患者出血及感染情况,以及两组患者宫颈、宫腔、输卵管及盆腔病变的成像效果。结果 实验组患者显示输卵管病变与对照组有明显差异(P<0.05),显示宫颈、宫腔及盆腔病变较对照组有明显优势,且术中基本无痛,术后出血及感染例数少;医生基本不接受辐射剂量。结论 64排螺旋CT仿真子宫输卵管造影术在无痛、精确成像、评估及诊断女性不孕症器质性病变方面具有更好的优势,可替代传统子宫输卵管造影术。Objective To explore the advantage and clinical value of 64-row spiral computed tomography virtual hysterosalpingography compared with conventional hysterosalpingography.Methods Retrospective analysis was performed to select 100 patients with female infertilitywho underwent hysterosalpingography from 2016 to 2018 in our hospital,randomly dividing into experimental group and control group.50 patients underwent 64-row spiral computed tomography operation as anexperimental group.50 patients underwent conventional hysterosalpingography as a control group.Comparingtwo groups of intraoperative pain grade,radiation dosage received by doctors and patients,postoperative haemorrhage and infection,and the imaging effect of pathological changes of cervical,uterine cavity,fallopian tube and pelvic.Results The display of the pathological changes of fallopian tube in the experimental group was better than the control group(P<0.05).The imaging effect of cervical,uterine cavity and pelvic disease in the experimental group was more competitivethanthe control group.The incidences of intraoperativepainless,postoperativehaemorrhage and infection in the experimental group were lower than the control group.Doctors hardly recieved radiation dosage in the experimental group during the operation.Conclusions The 64-row spiral computed tomography virtual hysterosalpingography has advantages in painless operation,precision imaging,evaluation and diagnosis of female infertility pathological disease,which can replace the conventional virtual hysterosalpingography.

关 键 词：不孕症 64排螺旋CT 仿真子宫输卵管造影术 输卵管病变 并发症 

分 类 号：R445.3[医药卫生—影像医学与核医学]