非离子型造影剂改良式子宫输卵管造影的临床应用

目的:探讨应用非离子型造影剂进行改良式子宫输卵管造影的可行性和有效性。方法:收治不孕妇女56例,其中29例行改良式子宫输卵管造影,27例对照组行常规子宫输卵管造影。改良式子宫输卵管造影先用3～6ml造影剂经folly管充盈子宫后再以生理盐水10ml加压推注造影剂由子宫进入输卵管再进入盆腔。对照组以同型造影剂行传统子宫输卵管造影。评估两种造影方法图像质量、诊断价值并记录两组造影方法的造影剂用量及造影术中及术后患者的疼痛。结果:改良式子宫输卵管造影有很好的诊断价值,图像质量与传统造影图像比较无差异(P>0.5),造影剂用量明显减少(P<0.01);10ml生理盐水可成功推注造影剂由子宫经输卵管进入盆腔,造影术中及术后的疼痛较对照组明显减低(P<0.05)。结论:改良式子宫输卵管造影可减少造影剂用量,并能明显减轻疼痛,安全可行。

Objective：to evaluate the feasibility and effectiveness of modified hysterosalpingography using non-ionic contrast medium.materials and.Metheds：fifty six infertility patients were randomly recuited in one of the two groups.modified hysterosalpingography were performed in 29 casese,for modified hysterosalpingography,3～6ml of non ionic contrast medium were injected to visualize the uterine cavity,followed by injection of 10ml saline to check tubal patency and spillage.A control group of patients underwent traditional hysterosalpingography.The imaging quality,the pain of process and the amount of medium were compared.Results：Modified hysterosalpingography have a good diagnostic value.There was no significant difference in imaging quality with two group（P0.5）,the usage of the amount of medium were significant low in modified hysterosalpingography（P0.01）,10ml saline pushed the contrast medium successfully from the uterine cavity through the fallopian tubes and into the pelvic cavity,the study group reported significantly less pain than did the control group（P0.05）.Conclusions：modified hysterosalpingography was sufficient to diagnose mechanical factors of sterility,the procedure was associated with a significant reduction in the amounts of medium and the pain.