子宮卵管造影 HSG
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/01/18 22:14:55」(JST)
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| Hysterosalpingography |
| Intervention |
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A normal hysterosalpingogram. Note the catheter entering at the bottom of the screen, and the contrast medium filling the uterine cavity (small triangle in the center).
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| ICD-9-CM |
87.8 |
| MeSH |
D007047 |
| MedlinePlus |
003404 |
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[edit on Wikidata]
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Hysterosalpingography (HSG) is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes. It entails the injection of a radio-opaque material into the cervical canal and usually fluoroscopy with image intensification. A normal result shows the filling of the uterine cavity and the bilateral filling of the fallopian tube with the injection material. To demonstrate tubal rupture, spillage of the material into the peritoneal cavity needs to be observed. A synonym to hysterosalpingography is uterosalpingography.[citation needed]
Contents
- 1 Procedure
- 2 Complications
- 3 History
- 4 Follow Up
- 5 See also
- 6 References
- 7 External links
Procedure
The procedure involves X-rays. It should be done in the follicular phase of the cycle.[1] It is contraindicated in pregnancy. It is useful to diagnose uterine malformations, Asherman's syndrome, tubal occlusion and pelvic inflammatory disease[2] and used extensively in the work-up of infertile women. It has been claimed that the chance of pregnancy increases after HSG has been performed.[3] Using catheters, an interventional radiologist or specifically trained radiographer can open tubes that are proximally occluded.
The test is usually done with radiographic contrast medium (dye) injected into the uterine cavity through the vagina and cervix. If the fallopian tubes are open the contrast medium will fill the tubes and spill out into the abdominal cavity. It can be determined whether the fallopian tubes are open or blocked and whether the blockage is located at the junction of the tube and the uterus (proximal) or whether it is at the end of the fallopian tube (distal).
The HSG can be painful, so analgesics may be administered before and/or after the procedure to reduce pain. Many doctors will also prescribe an antibiotic prior to the procedure to reduce the risk of an infection.
Complications
Complications of the procedure include infection, allergic reactions to the materials used, intravasation of the material, and, if oil-based material is used, embolisation. Air can also be accidentally instilled into the uterine cavity by the operator, thus limiting the exam due to iatrogenically induced filling defects. This can be overcome by administering the Tenzer Tilt, which will demonstrate movement of the air bubbles to the non-dependant portion of the uterine cavity.
History
For the first HSG Carey used collergol in 1914. Lipiodol was introduced by Sicard and Forestier in 1924 and remained a popular contrast medium for many decades.[4] Later, water-soluble contrast material was generally preferred as it avoided the possible complication of oil embolism.
Follow Up
If the HSG indicates further investigations are warranted, a laparoscopy, assisted by hysteroscopy, may be advised to visualise the area in three dimensions, with the potential to resolve minor issues within the same procedure.
See also
- Hydrosalpinx
- Salpingitis isthmica nodosa
References
- ^ Baramki T (2005). "Hysterosalpingography.". Fertil Steril 83 (6): 1595–606. doi:10.1016/j.fertnstert.2004.12.050. PMID 15950625.
- ^ Ljubin-Sternak, Suncanica; Mestrovic, Tomislav (2014). "Review: Clamydia trachonmatis and Genital Mycoplasmias: Pathogens with an Impact on Human Reproductive Health". Journal of Pathogens 2014 (183167). doi:10.1155/204/183167. PMC 4295611. PMID 25614838.
- ^ "Hysterosalpingogram". WebMD Medical Reference.
- ^ Bendick A. J. (1947). "Present Status of Hysterosalpingography". Journal of the Mount Sinai Hospital, New York 14 (3): 739.
External links
- RadiologyInfo - The radiology information resource for patients: Hysterosalpingography
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Female genital surgical and other procedures (gynecological surgery) (ICD-9-CM V3 65–71, ICD-10-PCS 0U)
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| Adnexa |
| Ovaries |
- Oophorectomy
- Salpingoophorectomy
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| Fallopian tubes |
- Falloposcopy
- Salpingectomy
- Tubal ligation
- Essure
- Tubal reversal
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| Uterus |
| general: |
- Hysterectomy
- Hysterotomy
- Pelvic exenteration
- Uterine artery embolization
- Transplantation
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| uterine cavity: |
- Hysteroscopy
- Vacuum aspiration
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| endometrium: |
- Endometrial biopsy
- Endometrial ablation
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| myometrium: |
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| cervix: |
- Colposcopy
- Cervical conization
- Cervical cerclage
- Cervical screening (pap test)
- Cervicectomy
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| Vagina |
- Vaginectomy
- Culdoscopy
- Culdocentesis
- Hymenotomy
- Colpocleisis
- Hymenorrhaphy
- Vaginal wet mount
- Vaginal transplantation
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| Vulva |
- Vulvectomy
- Female genital mutilation
- Labiaplasty
- Clitoral hood reduction
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| Medical imaging |
- Gynecologic ultrasonography
- Hysterosalpingography
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Index of reproductive medicine
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| Description |
- Anatomy
- Physiology
- Development
- sex determination and differentiation
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| Disease |
- Infections
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Medical imaging (ICD-9-CM V3 87–88, ICD-10-PCS B, CPT 70010–79999)
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X-ray/
medical radiography/
Industrial radiography |
| 2D |
| Medical: |
- Pneumoencephalography
- Dental radiography
- Sialography
- Myelography
- CXR
- AXR
- KUB
- DXA/DXR
- Upper gastrointestinal series/Small-bowel follow-through/Lower gastrointestinal series
- Cholangiography/Cholecystography
- Mammography
- Pyelogram
- Cystography
- Arthrogram
- Hysterosalpingography
- Skeletal survey
- Angiography
- Angiocardiography
- Aortography
- Venography
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| Industrial: |
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| 3D / XCT |
| Medical: |
- CT pulmonary angiogram
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- Computed tomography of the abdomen and pelvis
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- Spiral computed tomography
- High resolution CT
- Whole body imaging
- X-ray microtomography
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- Magnetic resonance imaging of the brain
- MR neurography
- Cardiac MRI/Cardiac MRI perfusion
- MR angiography
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| Ultrasound |
- Echocardiography
- Doppler echocardiography
- Intravascular
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- Duplex
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| 2D / scintigraphy |
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| full body: |
- Octreotide scan
- Gallium 67 scan
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| 3D / ECT |
- SPECT
- gamma ray: Myocardial perfusion imaging
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- Brain PET
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- PET-CT
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| Optical laser |
- Optical tomography
- Optical coherence tomography
- Confocal microscopy
- Endomicroscopy
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| Thermography |
- non-contact thermography
- contact thermography
- dynamic angiothermography
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UpToDate Contents
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- 1. 子宮卵管造影 hysterosalpingography
- 2. 女性の不妊評価 evaluation of female infertility
- 3. 先天性子宮奇形の臨床症状および診断 clinical manifestations and diagnosis of congenital anomalies of the uterus
- 4. 子宮腔癒着 intrauterine adhesions
- 5. 子宮平滑筋腫（子宮筋腫）の疫学、臨床症状、診断、および自然経過 epidemiology clinical manifestations diagnosis and natural history of uterine leiomyomas fibroids
English Journal
- A systematic approach to the magnetic resonance imaging-based differential diagnosis of congenital Müllerian duct anomalies and their mimics.
- Yoo RE1, Cho JY, Kim SY, Kim SH.
- Abdominal imaging.Abdom Imaging.2014 Jul 29. [Epub ahead of print]
- Müllerian duct anomalies (MDAs) represent a wide spectrum of developmental abnormalities related to various gynecologic and obstetric complications, including primary amenorrhea, infertility, and endometriosis. The use of diverse imaging modalities, in conjunction with clinical information, provide
- PMID 25070770
- Laparoscopic Salpingotomy Using the Floseal Hemostatic Sealant in Patients with Tubal Pregnancy.
- Song T1, Kim MK, Kim ML, Jung YW, Yoon BS, Seong SJ.
- Journal of laparoendoscopic & advanced surgical techniques. Part A.J Laparoendosc Adv Surg Tech A.2014 Jul 25. [Epub ahead of print]
- Abstract Background: To present our initial experience with laparoscopic salpingotomy using the Floseal™ (Baxter International Corp., Deerfield, IL) hemostatic matrix for tubal pregnancy and to evaluate the efficacy and tubal patency after salpingotomy. Materials and Methods: A prospective study w
- PMID 25062090
- Intraperitoneal residual contrast agent from hysterosalpingography detected following cesarean section.
- Takeyama K1, Ishikawa R, Nakayama K, Suzuki T.
- The Tokai journal of experimental and clinical medicine.Tokai J Exp Clin Med.2014 Jul 20;39(2):69-71.
- Residual contrast agent from hysterosalpingography was detected in the abdominal cavity in a patient who had undergone Cesarean section. It is believed that magnetic resonance imaging alone would be sufficient to distinguish such medium from a foreign body in such cases.
- PMID 25027250
Japanese Journal
- 絨毛性疾患との鑑別を要した子宮漿膜下腹膜妊娠の1例
- 腹腔鏡下腫瘍切除術を施行した嚢胞性子宮腺筋症の一例
- 腹腔鏡下卵管保存手術後のPEP（persistent ectopic pregnancy）早期診断に関する検討
Related Links
- Hysterosalpingography (HSG) is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes. It entails the injection of a radio-opaque material into the cervical canal and usually ...
- Current and accurate information for patients about hysterosalpingography. Learn what you might experience, how to prepare for the exam, benefits, risks and much more.
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★リンクテーブル★
[★]
- 英
- hysterosalpingography HSG
- 関
- 子宮卵管造影法、子宮卵管造影検査、卵管造影、不妊
実施時期
禁忌
確認事項
- 卵管の開通性
- 卵管采周囲の癒着
- 子宮の形態異常
- 子宮頚管の形状
- 骨盤内の癒着状態
診断できる疾患
[★]
- 関
- hysterosalpingography