What does gynecological imaging check?

Contrast examination is a commonly used examination method in clinical medicine, and gynecological angiography, as the name suggests, is a contrast examination of female reproductive organs. Hysterosalpingography is an important imaging examination method. Hysterosalpingography can help women check various genital inflammations, genital malformations, uterine tumors, infertility and other problems. It is widely used in gynecology.

Hysterosalpingography is a procedure in which iodine contrast medium is injected directly from the cervical canal into the uterine cavity, and then through the uterine cavity to the fallopian tube, to understand the patency of the uterine cavity and fallopian tube cavity under X-ray fluoroscopy. Generally, sexual intercourse is abstained during 3 to 7 days after the menstrual period and angiography is performed. The film was taken twice in total. One film was taken after the contrast agent showed the condition of the uterus and fallopian tubes. Another film was taken the next day to observe the patency of the fallopian tubes and the distribution of the contrast agent in the pelvis.

2. Indications:

1. Auxiliary examination for infertility.

2. Chronic inflammation of reproductive organs, tuberculosis lesions, etc.

3. Malformations of reproductive organs, such as septate uterus, saddle-shaped uterus, etc.

4. Uterine tumors, such as submucosal fibroids, etc.

5. Abnormal morphology of the cervical canal, etc.

1. The patient takes the lithotomy position, disinfects the vulva and vagina with 0.25% active iodine, exposes the cervix with a vaginal speculum, and disinfects the cervix again.

2. Use a cervical forceps to clamp the anterior lip of the cervix and pull it outwards. Insert the sterilized double-lumen balloon tube into the external os of the cervix. Use a syringe to inject 1 to 2 ml of air into the balloon. Gently pull the double-lumen tube outwards by hand without slipping.

3. Ask the patient to lie supine on the fluoroscopic table under X-ray, and inject 10 ml of the prepared 20% to 40% iodized oil through the double-lumen tube. Take a film when the iodized oil fills the uterus and fallopian tubes, and pay attention to whether the iodized oil spreads from the fallopian tube opening to the pelvic cavity. Ask the patient to take the second film after 24 hours.

IV. Precautions

1. The operation should be performed 3 to 7 days after the end of menstruation, and sexual intercourse should be abstained for 3 days before angiography.

2. During the operation, pay attention to whether the patient has iodine allergy, prepare rescue drugs, detect and treat it in time.

3. Do not push the contrast agent too hard. If the contrast agent is found to flow back into the veins or lymphatic vessels, the injection should be stopped immediately and the patient should be placed in the right side lying or sitting position immediately to prevent the contrast agent from entering the left ventricle.

1. Give antibiotics as appropriate to prevent infection.

2. Some patients experience transient abdominal pain and fever, which will gradually disappear after 24 hours and do not require special treatment.

3. No sexual intercourse for 2 weeks after surgery.