320例子宫输卵管造影结果分析

Hysterosalpingography results in 320 cases

目的:探讨子宫输卵管造影的X线摄片结果与相关症状及造影药物用量的关系。方法:回顾性分析自2008年1月至2012年7月间在山东省计划生育科学技术研究所女性室进行子宫输卵管造影的320例患者,采用泛影葡胺作造影剂,用X线计算机数字摄影系统(CR)行透视观察造影剂流经子宫输卵管情况并摄片。对X线摄片结果、造影剂用量、术中患者的腹痛症状、操作医生注入造影剂时感觉到的阻力情况及造影剂返流情况等相关数据进行统计学分析,利用SPSS17.0进行卡方检验和方差分析。结果:根据X线摄片结果,320例患者中双侧通畅者为176例,双侧梗阻者为56例,单侧通畅者为88例。三组间的腹痛情况、阻力、返流情况有所不同,其差异有统计学意义(χ2=58.967,P<0.05;χ2=82.245,P<0.05;χ2=58.294,P<0.05)。双侧通畅组造影剂的平均用量为(9.970±3.369)ml,双侧梗阻组为(7.960±3.096)ml,单侧通畅组为(9.340±3.440)ml,各组间所用造影剂的量有差异(P<0.05)。结论:根据患者自述的腹痛情况、操作医生的阻力感、造影剂的返流情况以及造影剂的用量,可以初步判断输卵管的通畅情况,与X线摄片结果密切结合可以协助明确诊断。

Objectives： To evaluate the relationship between the results of hysterosalpingography （HSG） and relative signs or the volume of contrast media. Methods： A retrospective review was conducted of HSG results of 320 cases between January 2008 and July 2012 in The Family Planning Science Technique Institute of Shandong Province. Meglumine diatrizoate was used as contrast media. The contrast media through the uterine tube was observed and photographed by X - ray digital radiography system （CR）. The results of X -ray, relative signs and the volume of contrast media were analyzed by SPSS17.0. Results： According to the results of X- ray, there were 176 cases appearing as bilateral fallopian tubal patency, 56 cases as bilateral fallopian tubal obstruction, and 88 cases as unilateral fallopian tubal patency. The relative signs such as patient＇ s abdominal pain, the operator＇ s resistance sense, and the reflux of contrast media were different among the three groups. （X2 = 58. 967 ,P 〈 0. 05 ;X2 = 82. 245, P 〈 0. 05 ;X2 = 58. 294, P 〈 0.05 ）. The average volume of contrast media was 9.970 ＋ 3. 369ml in the group of bilateral fallopian tubal patency ,7. 960 ＋ 3. 096ml in group of bilateral fallopian tubal obstruction, and 9. 340 _＋ 3. 440ml in group of unilateral fallo- pian tubal patency. There was obvious difference among the three groups in the volume of contrast media （ P 〈 0.05 ）. Conclu- sions： The initial judgment of fallopian tubal patency can be made by the patient＇ s abdominal pain, the operator＇ s resistance sense, the reflux of contrast media and the volume of contrast media, as well as the results of X - rays.