Sawada T, Kuroki J, Yoshimura Y, Kawakami S
Department of Obstetrics and Gynecology, School of Medicine, Fujita Health University, Aichi, Japan.
Fertil Steril. 1997 Dec;68(6):1075-8. doi: 10.1016/s0015-0282(97)00415-9.
To evaluate the diagnostic value of the crushed glass appearance of particles observed on roentgenogram after hysterosalpingography in patients with pelvic abnormalities.
Retrospective study of 32 patients whose roentgenogram had particles with a crushed glass appearance and 16 patients without crushed glass appearance, with laparoscopy conducted to determine the location and severity of the pelvic disease.
Fujita Health University Hospital, Aichi, Japan.
PATIENT(S): A total of 240 patients underwent hysterosalpingography to determine the cause of infertility.
MAIN OUTCOME MEASURE(S): We compared the location of the pelvic endometriosis and/or inflammation that was observed on roentgenogram as the crushed glass appearance versus definitive findings at laparoscopy.
RESULT(S): A total of 30 of the 32 cases (93.8%) with the crushed glass appearance were confirmed as having pelvic abnormalities, such as endometriosis (73.3%) and pelvic inflammation (26.7%). The rate of the concurrence of the location of the crushed glass appearance observed on the film and that of the lesions verified by laparoscopy was 66.7%. Histopathological examination showed that specimens taken from endometriosis or inflammatory lesions that comprised the crushed glass appearance were lacking in epithelium in proportion to the size of the particles.
CONCLUSION(S): Identification of the crushed glass appearance of particles was a useful noninvasive method of detecting pelvic abnormalities, such as pelvic endometriosis and inflammation, in infertile women.
评估子宫输卵管造影后X线片上观察到的颗粒状碎玻璃样表现对盆腔异常患者的诊断价值。
对32例X线片上有颗粒状碎玻璃样表现的患者和16例无碎玻璃样表现的患者进行回顾性研究，通过腹腔镜检查确定盆腔疾病的位置和严重程度。
日本爱知县藤田保健大学医院。
共有240例患者接受子宫输卵管造影以确定不孕原因。
我们比较了X线片上观察到的作为碎玻璃样表现的盆腔子宫内膜异位症和/或炎症的位置与腹腔镜检查的明确结果。
32例有碎玻璃样表现的病例中，共有30例（93.8%）被证实有盆腔异常，如子宫内膜异位症（73.3%）和盆腔炎症（26.7%）。X线片上观察到的碎玻璃样表现的位置与腹腔镜检查证实的病变位置的一致率为66.7%。组织病理学检查显示，从构成碎玻璃样表现的子宫内膜异位症或炎性病变中取出的标本，其上皮细胞与颗粒大小成比例缺失。
识别颗粒状碎玻璃样表现是检测不孕女性盆腔异常（如盆腔子宫内膜异位症和炎症）的一种有用的非侵入性方法。
