背景解剖和生理
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子宫输卵管造影:解剖和生理

时间:2021-12-29 15:18来源:www.ynjr.net 作者:杨宁介入医学网
A hysterosalpingogram procedure assesses the female genital tract anatomy with a focus on the fallopian tubes and uterus. 子宫输卵管造影术评估女性生殖道的解剖结构,重点是输卵管和子宫。 The female internal genitalia typically is comprised o
A hysterosalpingogram procedure assesses the female genital tract anatomy with a focus on the fallopian tubes and uterus.
子宫输卵管造影术评估女性生殖道的解剖结构,重点是输卵管和子宫。
 
 The female internal genitalia typically is comprised of a uterus with two fallopian tubes.
女性的内生殖器通常由一个子宫和两个输卵管组成。
 
 During organogenesis, it is possible to have many different congenital malformations affecting the reproductive system.
在器官发生过程中,可能会有许多不同的先天性畸形影响生殖系统。
 
 The endometrial cavity can have defects near the fundus, which can be from Mullerian duct anomalies.
子宫内膜腔可能在宫底附近有缺陷,这可能是由于穆勒管异常。
 
 These defects are from a failed resorption of the uterovaginal septum that can range from an arcuate uterus to a septate uterus.
这些缺陷是由于子宫阴道间隔吸收失败,可从弓形子宫到子宫隔子宫。
 
 Additionally, defects are sourced from the incomplete fusion of the Mullerian ducts, which can lead to a bicornuate uterus presentation.
此外,缺陷来源于穆勒氏导管的不完全融合,这可能导致双角子宫的表现。
 
Currently, there are seven different classifications for Mullerian abnormalities: agenesis, unicornuate, didelphys, bicornuate, septate, arcuate, and Diesthystilbestrol-related anomalies.
目前,穆勒氏异常有7种不同的分类:发育不全、单核、双齿、隔形、弓形和二烯雌酚相关异常。
 
 Imaging databases house different variations of abnormalities, useful for anatomical presentations that fall into a mixture of classifications.
成像数据库包含不同的异常,对混合分类的解剖表现很有用。

Mullerian abnormalities are suggested to be found in around 5% of all hysterosalpingograms.[1] 
穆勒氏异常提示在所有子宫输卵管造影中约占5%[1]。
 
The most common type of Mullerian abnormality is type V, the septate uterus.[2] 
最常见的穆勒氏异常类型是V型,子宫隔[2]。
 
 The septum is formed during organogenesis and is a fibromuscular band.
隔膜是在器官发生过程中形成的,是一条纤维肌带。
 
 The band is a remnant of the fusion of the paramesonephric ducts and usually undergoes physiologic resorption.
该带是副肾管融合的残余,通常进行生理吸收。
 
Additional pathologies aside from Mullerian abnormalities include uterine cancer, polyps, fibroids, and adhesions.
除穆勒氏体异常外,其他病理还包括子宫癌、息肉、肌瘤和粘连。
 
 There are other superior ways to detect these findings, but the findings can still be present with a hysterosalpingogram.
还有其他更好的方法来检测这些发现,但这些发现仍然可以存在于子宫输卵管造影中。
 
Additional pathologies that can be diagnosed from hysterosalpingogram focus on the patency of the fallopian tubes.
其他可以通过子宫输卵管造影诊断的病理集中在输卵管的通畅上。
 
 Tubal occlusions are suggested to be present in 12 to 33% of patients undergoing an infertility workup.
12-33%的不孕症检查患者建议出现输卵管闭塞[3]。
 
 The major cause of tubal occlusions is sexually transmitted infections.[4]
[3]输卵管闭塞的主要原因是性传播感染。
 
 Gonorrhea has been suggested to be associated with 90% of the cases of infertility.
淋病被认为与90%的不孕症病例有关。[4]
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