From Big Medical Encyclopedia

GINEKOGRAFIYA (Greek gyne, gynaik[os] the woman + grapho to write, represent) — X-ray inspection of internal generative organs of the woman using a double contrast study — by means of the gas entered into an abdominal cavity and the contrast agent entered into a cavity of the uterus.

Sometimes understand a X-ray analysis of a small pelvis in the conditions of a pneumoperitoneum as a ginekografiya. However most of authors in this case uses the term «gas pelviografiya» or «pnevmopelviografiya» (see. Pelviografiya ).

Make for the purpose of recognition and differential diagnosis of tumors of a uterus and its appendages, and also formations of other bodies of a small pelvis, at suspicion on a multiple hysteromyoma with a submucous arrangement of a node, peritoneal infertility, etc.

the Roentgenogram of internal generative organs of the woman at infertility (a double contrast study — a pnevmopelviografiya — gas is entered into an abdominal cavity, a contrast agent — in a cavity of the uterus). The left uterine tube is impassable — a contrast agent did not come to it. The uterus and the right uterine tube are filled with a contrast agent. In a cavity of a vagina the catheter entered into a neck of uterus and nippers fixing a uterus are visible (the patient lies on a stomach).

The research is begun with imposing pneumoperitoneum (see) then enter a contrast agent into a cavity of the uterus (see. Metrosalpingografiya ), preferably Iodolipolum which not so quickly, in comparison with water-soluble contrast agents, gets into an abdominal cavity. In order that a contrast agent did not follow in a vagina, it is necessary to close a uterine pharynx densely. After administration of contrast medium in a uterus do the first x-ray film in horizontal position of the patient (on spin). In a picture receive a shadow of a cavity of the uterus. Then the patient is stacked on a stomach in the provision of Trendelenburga (the head end of a table is lowered on 45 °) or in genucubital situation. At the same time the gas entered into an abdominal cavity accumulates in a small pelvis, and loops of intestines are displaced to a diaphragm; the central beam is directed to a tailbone. On roentgenograms against the background of gas in an abdominal cavity shadows of a uterus, uterine tubes, wide and round sheaves and ovaries, and also the cavity of the uterus filled with a contrast agent (fig.) come to light. Thus, the ginekografiya allows to delimit accurately in not clear cases a uterus from other bodies of a small pelvis. At tube infertility on roentgenograms peritubarny commissures are well visible.

Prevention of possible complications (infection of internal generative organs, emphysema, a hematoma of an abdominal wall, damage of bodies of a stomach) requires strict observance of an asepsis and technology of performance of a metrosalpingografiya and pneumoperitoneum.

It is contraindicated at a cardiovascular decompensation, acute and subacute inflammatory processes (the general and local), at pregnancy, hypersensitivity to iodine.

Bibliography: Bakuleva L. The item Bikont-rastnaya a ginekografiya in diagnosis of the reasons of infertility of women in comparison with other methods of a research, Works of the 11th Vsesoyuz, a congress akush. and ginek., page 374, M., 1965; Gryaznova I. M. the X-ray-contrast pelviografiya and endoscopy in gynecology, M., 1972, bibliogr.; M and r-shalek I. and Zhenishek L. Radiodiagnosis of diseases of a female genital, page 55, Prague, 1963; Persianinov L. S., etc. A gas ginekografiya in diagnosis of gynecologic diseases, Akush, and ginek., No. 6, page 62, 1960; Lagarde C1. La pneumopelvigraphie, Technique d’examen gynScologique, P., 1962; Richter K., M and with h S. u. L i-s e w s k i G. Die Pneumopelvigraphie, Eine rontgenologische Methode zur Unter-suchung der weiblichen Genitalorgane, B., 1973, Bibliogr.

H. M. Pobedinsky.