不孕症子宫输卵管碘水造影407例临床分析

X-ray findings analysis of hysterosalpingography with compound meglimine diatrizoate injection in 407 sterility patients

目的 通过观察不孕症患者子宫和输卵管碘水造影的X线表现 ,分析原发性和继发性不孕症患者子宫和输卵管病变的区别。方法 40 7例不孕症患者用 76 %的泛影葡胺按常规操作进行子宫输卵管造影术检查和摄片。结果 147例原发性不孕症中 ,子宫异常占 30 .6 1% ,其中子宫先天畸形占 2 2 .45 %、子宫结核占 6 .80 % ;输卵管异常占 79.5 6 % ,其中输卵管炎占 6 8.71%、输卵管结核占 10 .88% ;兼有子宫和输卵管异常的占 9.5 0 %。 2 6 0例继发性不孕症中 ,子宫异常占 14.2 3% ,其中子宫先天畸形占 1.5 1%、子宫结核占 2 .31% ;输卵管异常占 91.5 4% ,其中输卵管炎占 88.47%、输卵管结核占 3.0 7%。结论 子宫输卵管碘水造影术是检查子宫和输卵管形态的可靠方法 ,也是输卵管各种手术前必须检查的步骤。引起原发性和继发性不孕症的病变中 ,输卵管炎最为常见 ;原发性不孕症中 ,子宫先天畸形和结核的病人多于继发性不孕症的病人。

Objective To analyses the diffirences between the diseases of uterus and Fallopian tubes in the patients with idiopathy and the secondary sterility by studying the X-ray findings of Hysterosalpingogrphy with compound meglimine diatrizoate injection.Methods there were 407 cases with sterility, who accepted the Hysterosalpingography with 76% compound meglimine diatrizoate injection.Results among 147 cases of idiopathic sterility,uterine abnormity was found in 30.61% patients, with 22.45% congenital uterus malformation and 6.80% TB; the Fallopian tubes abnormity was found in 79.56% patients, with 68.71% inflammation and 10.88% TB . Among 260 cases with the secondary sterility , uterine abnormity was found in 14.23% patients , with 1.51% congenital uterus malformation and 2.31% uterus TB; the Fallopian tubes abnormity was found in 91.54% patients, with 88.47% inflammation and 3.07% TB.Conclusions Hysterofallopiangography is a reliable way of examining uterine and Fallopian tube shapes and also is the necessary step before the Fallopian tube operation . Among the causes of idiopathic and the secondary sterility,the Fallopian tubal inflammation is the most common.In idiopathic sterility,congenital uterus malformation TB are much more common than that in the secondary sterility.