Pelvic Pneumatic Angiography

Female pelvic gas angiography is a method of x-ray examination using artificial pneumoperitoneum to compare the inflation around the female pelvic organs. This will give a clear understanding of the relationship between the size, shape, location and surrounding tissues of the entire female genitalia. It also provides information for the diagnosis of gynecological diseases that understand the physiological changes of the internal genitalia. Basic Information Specialist classification: gynecological examination classification: X-ray Applicable gender: whether women are fasting: not fasting Tips: Forbidden drinks for a few hours before the pelvic cavity is inflated. Normal value The shadow of the uterus is located above the pubic symphysis of the pelvic cavity. It is shaped like a transverse olive. The two ends are sharp and the central bulge. The upper and lower edges form the edge of the two arcs. The upper edge is more convex and the lower edge is relatively flat. The density is uniform. The uterus shadow of the non-fertile person is relatively small, the contour is neat, the edge is smooth, the fertility is large, and the edge often shows irregular irregularities of unevenness. The size of the uterus of the same person is not only related to fertility, but also related to menstruation. Significantly increased after menstruation. Generally, the volume is the largest before and after menstruation. Clinical significance Abnormal results: 1. Intrapelvic mass, pelvic gas angiography can show the shape and contour of the internal genital and mass, identify the relationship between the two and the nature and source of the diagnosis of the mass. For those who need surgical resection, the scope of surgery can be estimated. 2. Patients with endocrine disorders, angiography can observe the size and shape of the ovary, with or without ovarian dysplasia, atrophy, polycystic ovary or ovarian tumor, to determine the relationship between endocrine disorders and ovary. 3. Various types of internal genital developmental malformations, especially vaginal atresia can not be used for uterine fallopian tube angiography, pelvic gas angiography may be diagnosed. As well as the identification of semi- and hermaphroditism, pelvic gas angiography was used to observe the presence or absence of female genitalia. 4. Older ectopic pregnancy, sometimes difficult to diagnose clinically, can be diagnosed by double contrast. 5. Unmarried women and obese women can not be used for vaginal examination. If the diagnosis of double diagnosis is unclear, this method is used to assist diagnosis. Need to check the crowd: assisted diagnosis of gynecological diseases and women's reproductive health checkups. Precautions Before the inspection: In the evening, take the diarrhea leaves (at 8 o'clock in the evening, take 15 grams of boiling water and brew two cups of water), or clean the enema to eliminate the contents of the colon and reduce the overlapping shadow. If you want to do double contrast, you should pre-approve 3 days ago. As an iodine allergy test. Before the examination, the inspected person should first explain the purpose of the operation, and the method is simple and safe. In particular, the examination has no pain, so as to eliminate the fear of the examiner. For individual sensitive patients, the patient can be present. Oral administration of a small amount of sedative in the evening, if necessary, a small amount of sedative. Before the operation, we can reduce the pain by psychological comfort. The pelvic cavity is forbidden for several hours before inflating, and the bowel movement is urination before surgery. After the examination: the patient stayed in the hospital and watched for 24 hours before returning home. General outpatients can be implemented. If there is a possibility of damage to the intestine during gas injection, antibiotics should be given to prevent infection. If you get stuck, the intestines will avoid themselves and will not be stabbed. Inspection process (1) X-ray inspection: The patient takes the prone position and tilts the head of the diagnostic bed down 25 to 30. And put a cotton pad about 6cm high in front of the pubic symphysis to avoid the overlapping of the uterus and ovary image and the pubic symphysis shadow, which can clearly show the shape, contour and position of the genital, bladder, rectum and pelvic wall in the pelvic cavity. Overview. After the examination, the puncture and deflation can also not deflate, such as more intra-abdominal adhesions, the patient's call pain should be stopped immediately at the time of injection, because the gas enters the expansion, the adhesion band can be broken and the air stagnation occurs, which is reported to be fatal. In the case of ascites, the gas can be injected after the ascites is discharged. The amount of injecting gas can be equal to the amount of ascites. The specific amount of gas injected can be determined according to the actual situation. After the examination, the patient stays in the hospital for 24 hours and then returns. Family. General outpatients can be implemented. If there is a possibility of damage to the intestine during gas injection, antibiotics should be given to prevent infection. If you get stuck, the intestines will avoid themselves and will not be stabbed. (2) Photographic location: 1. Posterior anterior slice: The patient is lying on the median line of the x-ray diagnosis bed tilted downward from the head side by 25 to 300. The center line of the x-ray tube is aligned with the upper end of the inter-breural joint, and the x-ray tube is projected vertically. This projection angle separates the genital tract from the tibia and rectum. Photo conditions are 60 to 70 volts, 100 mA, distance 75 cm, plus a filter, using 20 x 25 or 25 x 30 cm film. The lower edge of the x-ray film is flush with the distal end of the humerus. 2. Oblique slice: rotate the patient to the left or right by 10~200. The center line of the tube is slightly moved to the left or right by 2~3cm along the axis of the right projection. If the patient is not fat, the photo condition can be the same as the positive position. Obese people can extend the filming time based on the positive position. 3. Lateral position: the patient is placed in the lateral position, the legs are stretched as far as possible, and the femur overlap is reduced. The center of the tube is aligned with the lcm above the femur. The photo condition is on the positive position, plus one third. The amount of lateral slices is generally not required. Not suitable for the crowd Not suitable for the crowd: 1. The general health condition is poor, and there are people with severe heart disease and high blood pressure. 2. The pelvic mass is large and occupies most of the pelvic cavity. 3. Inflammation of the pelvic or abdominal cavity with acute or chronic inflammation or severe adhesions. Adverse reactions and risks Nothing.

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