三种造影剂在子宫输卵管造影检查中的应用对比

Comparison of three kinds of contrast media inhysterosalpingography

目的对碘化油、碘帕醇和罂粟乙碘油三种造影剂在子宫输卵管造影术中影像诊断的质量以及安全性进行对比与剖析。方法在2020年4月-2021年9月间于本院就诊的不孕症患者中随机抽取应用碘化油、碘帕醇和罂粟乙碘油行子宫输卵管造影术各200例,分析不同造影剂间影像质量、造影剂逆流以及不良反应发生情况的差异。结果共纳入600例行子宫输卵管造影的患者;图像质量方面,三组间存在显著差异(P<0.05);罂粟乙碘油组优良率最高(99.5%),碘化油组最低(94.0%)。此外,罂粟乙碘油组不良反应发生率最低(6.5%)。结论罂粟乙碘油在三种造影剂中性能更优,患者接受程度高,不良反应小,安全性更好。

Objective To compare and analyse the quality and safety of image diagnosis of three contrast agents:iodinated oil,iopamidol and poppy b-iodine in hysterosalpingography.Methods A total of 200 cases infertile patients of iodinated oil,iopamidol and poppy ethyl iodide were randomly selected for hysterosalpingography in our hospital between April 2020 and September 2021,and the differences in image quality,contrast reflux and adverse effectsamong different contrast agentswere analyzed.Results A total of 600 patients undergoing hysterosalpingography were included;there was a significant difference in image quality between the three groups(P<0.05);the poppy ethyl iodide group had the highest excellent rate(99.5%)and the iodinated oil group had the lowest(94.0%).In addition,the incidence of adverse reactions was lowest in the poppy ethyl iodide oil group(6.5%).Conclusion Poppy ethyl iodide oil had better performance among the three contrast agents,with higher patient acceptance,less adverse reactions and better safety.