三联疗法治疗不孕症50例的核素显像观察

The Diagnosis of Radionuclide Hysterosalpingography in 50 Infertile Women Treated by United Three Method

目的研究输卵管功能的正常及异常判断标准,分析不孕症患者输卵管功能受损程度差异及三联疗法治疗效果。方法对29例正常对照及50例经三联疗法治疗前后怀疑输卵管功能受损的不孕症女性患者,进行改良的核素输卵管显像(RNHS)。结果正常对照组通过小剂量注入子宫腔示踪剂动态观察,卵巢部位显影的时间为4±2.7s。结合加压注射显像剂第二次动态显像对实验组50例100条输卵管研究分析,将输卵管功能受损情况分为5类。而对X线子宫输卵管碘油造影(HSG)显示至少一侧输卵管机械性通畅的不孕症患者,三联疗法治疗其治愈率38%,有效率45%.结论改良的RNHS对输卵管功能受损程度及通畅性的判断具有重要价值;内服外治三联疗法治疗不孕症有较好的临床疗效。

Objective Through understanding the standard of normal and abnormal oviduct function, to evaluate its role in infertility patients and the combined three method efficacy. Methods The improved radionuclide hysterosalpingography（RNHS） was performed to twenty-nine cases of normal control and 50 patients which was infertility due to impaired fallopian tube. Results For the normal control group after the tracer agent was injected into cervical canal, the time when ovarian image appeared was 4 ＋ 2.7s.With pressural injection in the second dynamic image tor the experiment group,the impaired fallopian tubes state could be divided into five types. In infertility patients due to impaired fallopian tube function, and at least one side were mechanical obstruction in X-ray iodipin Hysterosalpingography（HSG） ,the cure and effective rate was 38 and 45 percent respectively when they were treated by combined three method. Conclusions Improved RNHS has an important diagnosis value for the extent of damaged fallopian tube. Combined three method has a good effect in the treatment of infertility.