Schwartz P E, Kohorn E I, Knowlton A H, Morris J M
Obstet Gynecol. 1975 Apr;45(4):378-84.
Unexpected hysterographic findings were encountered in 42 of 105 patients with postmenopausal bleeding or endometrial carcinoma. These included the extent and location of tumor, size and position of the uterus, uterine perforations or fistulas, and undetected myomas, congenital defects, or adnexal pathology. The findings proved of sufficient value in clinical management that hysterography, using water soluble medium, has been adopted as a routine procedure in such cases, especially if radium or cesium packing is employed. There was no statistically significant correlation between the histologic grade of the tumor and the hysterographic appearance of well-circumscribed or diffusely infiltrating lesions. Intravasation of contrast media occurred in 9 patients, lymphatic uptake was observed in 8, and peritoneal spillage of dye in 31 patients. There was no significant morbidity, and results to date show no evidence of tumor spread from the procedure.
105例绝经后出血或子宫内膜癌患者中，42例出现了意外的子宫造影检查结果。这些结果包括肿瘤的范围和位置、子宫的大小和位置、子宫穿孔或瘘管，以及未被发现的肌瘤、先天性缺陷或附件病变。这些结果在临床处理中被证明具有足够的价值，以至于使用水溶性介质的子宫造影已被作为此类病例的常规检查方法，尤其是在采用镭或铯填塞时。肿瘤的组织学分级与边界清晰或弥漫浸润性病变的子宫造影表现之间无统计学显著相关性。9例患者出现造影剂血管内渗漏，8例观察到淋巴管摄取，31例患者出现染料腹腔内溢出。无明显并发症，迄今为止的结果显示无手术导致肿瘤播散的证据。
