子宫输卵管双氧水声学造影与X线碘剂造影的比较

Comparative study of hydrogen peroxyde and iodipin in hysterosalpingography

目的探讨双氧水子宫输卵管声学造影的临床价值。方法随机抽取接受双氧水子宫输卵管声学造影和碘剂造影的不孕症患者各100例,比较其输卵管复通率、诊断准确性、并发症发生率及术后受孕率的差异。结果双氧水子宫输卵管声学造影诊断准确性与碘剂造影无差异,输卵管复通率及术后受孕率均高于碘剂造影,并发症发生率及不良妊娠发生率则低于碘剂造影。结论双氧水子宫输卵管声学造影可明确诊断输卵管阻塞,安全性高,并有一定治疗作用,与传统碘剂造影比较有明显优势,值得临床推广应用。

Objective To evaluate the diagnostic and application value of hydrogen peroxyde in uterine cavity and fallopian tubes. Methods Randomly selecting one hundred infertility patients using hydrogen peroxyde in uterine cavity and fallopian tubes and another one hundred using iodipin to compare the differences of the diagnostic accuracy, the rate of reopening, the rate of complications and pregnancy rate after operation. Results The accuracy of the two methods were almost the same, but the fallopian tubes reopening rate and pregnancy rate after operation of hydrogen peroxyd in uterine cavity and fallopian tubes using are higher than that of iodipin, while complications rate was less. Condusion Using hydrogen peroxide can diagnose and treat fallopian tubes obstructiont, which has obvious advantages compared with hysterosalpingography with iodipin and deserve to be clinically popularized.