Jul 31, 2008

Salpingography analysis

Tubal infection can cause inflammation, including acute and chronic Salpingitis, acute inflammation of the inspection is HSG contraindications, but if the acute phase without making good treatment and processing, develop into chronic Salpingitis, tubal wall caused damage, tubal expansion of stagnant water Lumen obstruction narrow, rigid wall surrounding adhesion, so it is very necessary HSG on the inspection.

Congenital anomalies of the uterus or uterine cavity adhesion, can cause infertility or pregnancy-after abortion, do HSG inspection clearly show that the uterine cavity of the shape, density and whether the edge there-the whole adhesion partitioning.

Tubal infertility is a common cause of female infertility, accounting for 30 percent of infertile women to 50 percent, tubal infertility are many reasons for infection is the most common causes of [1]. Tubal infection can cause inflammation, including acute and chronic Salpingitis, acute inflammation of the inspection is HSG contraindications, but if the acute phase without making good treatment and processing, develop into chronic Salpingitis, tubal wall caused damage, tubal expansion of stagnant water Lumen obstruction narrow, rigid wall surrounding adhesion, so it is very necessary HSG on the inspection. HSG checks can be clearly demonstrated tubal Traveling abnormal patterns change, density anomaly, the edge Maocao lumen narrow obstruction, and peritoneal adhesions around the fallopian tubes caused by abnormal smear at the same time, the fallopian tubes can be narrow and open to judge the degree, generally into the peritoneal Cavity of the contrast agent spread of the fallopian tubes, and the number of residual contrast agent and is divided into: (1) and less-Chang: 24 h-pelvic area contrast agent into a large number of arc-shaped smear, while in the fallopian tubes to take a little bit contrast District Granular agent was stranded. (2)-The poor: 24 h-pelvic area was part of contrast agent-coated lines, while in the fallopian tubes that go to areas of the contrast agent stranded in outlining the ampulla Strip mucosa Schlieren. (3)-and very poor: 24 h-pelvic area have some contrast agent was applied linear, while in the fallopian tubes Traveling there are more of a contrast with the oil-stranded or accumulation. Identification of tubal non-specific chronic inflammation and tuberculosis should not be alone X-ray, it is necessary to closely integrate clinical data [2].

Analysis of the causes reflux, there are three possibilities: (1) choice of the time performed too early, endometrial not yet fully restored. (2) catheter placed too deep, endometrial injury. (3) contrast agent injected too much pressure, especially in patients with blocked fallopian tubes are easily endometrial injury. Therefore, some scholars have proposed contrast to the time period chosen in the net after only five to seven days, the operator moves to gentle, modest catheter placed under the injection of contrast agent at the specific circumstances determine the amount of contrast agent, if the injection of the resistance , Not to forcibly pushing drugs, which can be better to avoid counter-current, and other complications.

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