The imaging characteristics of magnetic resonance hysterosalpingography in infertile women

Objective: We aimed to analyze the imaging characteristics of magnetic resonance hysterosalpingography (MR-HSG) in infertile women. Methods: A total of 20 infertile women admitted to our hospital from October 2018 to December 2019 were selected as the subjects of study for retrospective analysis. The MR-HSG examination was performed in all patients to analyze the examination results and imaging characteristics. Results: (1) The completion rate of MR-HSG examination was 100.00% in the 20 patients, of which those with primary infertility accounted for 65.00% and those with secondary infertility accounted for 35.00%. (2) Among the 20 infertile patients, 30.00% had unobstructed fallopian tubes, 40.00% had partial fallopian tube obstruction, 20.00% had full fallopian tube obstruction and 10.00% had hydrosalpinx. (3) Among the 14 patients with abnormal fallopian tubes, 14.29% had bilateral fallopian tube obstruction, 35.71% had partial fallopian tube obstruction on both sides, 7.14% had fallopian tubes that were unobstructed on one side and obstructed on the other side, 21.43% had fallopian tubes that were unobstructed on one side and partially obstructed on the other side, 7.14% had fallopian tubes partially obstructed on one side and obstructed on the other side, and 14.29% had hydrosalpinx. (4) Among the 7 patients with an abnormal uterus, 15.00% had adenomyosis, 5.00% had metropolypus, and 15.00% had hysteromyoma. In the patients with hysteromyoma, there was 1 case of submucous myoma and 2 cases of intramural myoma. (5) Among the 8 patients with abnormal ovaries, 20.00% had polycystic ovaries (PCO), 5.00% had teratoma, and 15.00% had endometriosis. In the patients with endometriosis, there was 1 case of superficial ovarian endometriosis, 1 case of endometrial cysts of the ovary (ECO) and 1 case of deep infiltrating endometriosis (DIE). Among the 20 infertile patients, 30.00% had normal fallopian tubes + uterus + ovaries, 20.00% had abnormal fallopian tubes + uterus + ovaries, 35.00%/40.00%/70.00% had abnormal uterus/ovary/fallopian tubes and 30.00% had abnormal fallopian tubes + uterus. Conclusion: Through MR-HSG examination, the infertility caused by pelvic factors can be identified clearly, and the tubal patency can be determined accurately to assist the clinical diagnosis of infertility and lay a good foundation for the early treatment of infertility.