262例子宫输卵管造影结果分析

Analysis the result of 262 hysterosalpingography

目的:分析不孕症碘油子宫输卵管造影结果。方法:对262例女性不孕症患者进行子宫输卵管造影,X线摄片。结果:清楚显示输卵管各部梗阻,单侧部分梗阻共89例(34.8%)。严重的子宫颈炎可以发生不孕,且比例较大。近一成患者诊断为内生殖器结核。25例输卵管结核多表现为宫颈边缘不整,狭窄次之。结论:子宫输卵管造影X线检查是诊断不孕症的最好方法,还能鉴别诊断子宫输卵管结核及与输卵管炎症。不孕原因除与子宫位置、子宫发育情况、输卵管形态等因素有关外,宫颈管边缘不整(即宫颈炎)也为输卵管通畅者不孕的主要原因。

Objective： To analyze sterility by hysterosalpingography （HSG）. Methods： 262 cases of female patients with sterility were given hysterosalpingography. 10 - 15 ml of 40% iodine oil was injected through cervical os and one regular x - ray photo was taken, and another photo 24 hours later. Results： oviduct barrage was cleanly shown on photos, one - side partially barrage accounts most, 89 cases in total （34. 8% ）. Severe eervicitis could cause the occurrence of sterility, accounting for most part. Nearly 10% of cases were diagnosed as tuberculosis of internal genital. Among 25 cases of tuberculosis of internal genital, the roughness of cervical margin was most commonly seen, stenosis of cervix uteri came second. Conclusion： The hysterosalpingography is the best way to diagnose sterility, which also can be used to differentiate tuberculosis of internal genital and salpingitis. Apart from its relation with position, development and shape of womb, the main cause of sterility of patients whose oviduct is unobstructed results from roughness of vertical canal （cervicitis）.