输卵管通液仪和造影剂注射装置在实时三维子宫输卵管造影中的应用

Application of contrast agent injection device in 3-dimensional hysterosalpingo-contrast sonography

目的:探讨造影剂注射装置结合输卵管通液仪在实时三维子宫输卵管造影中的应用价值。方法:收集2014年至2015年南京中医药大学附属医院妇科就诊后行子宫输卵管造影检查的216例不孕患者,随机将其分为手工注射造影剂的手工注射组和使用造影剂注射装置结合输卵管通液仪的恒速注射组,比较两组造影检查成功率、患者不良反应、造影剂逆流情况等。结果:两组患者造影检查成功率差异无统计学意义;两组患者最常见的不良反应为疼痛,部分伴有恶心、呕吐、乏力等,卧床休息30 min后均得到缓解。造影剂逆流率比较,恒速注射组较手工注射组明显降低(P<0.05)。结论:在三维子宫输卵管造影中,使用造影剂注射装置结合输卵管通液仪可全程动态观察造影过程,造影剂逆流发生率低,操作简便,图像质量和诊断准确率较高,可在临床推广应用。

Objective：To investigate the value of contrast agent injection device in 3-dimensional hysterosalpingo-contrast sonography（3D HyCoSy） with SonoVue. Methods：216 consecutive women as part of infertility evaluation were included and divided into two groups, manual injection group and machine injection group. Manual group used manual injection of contrast agent; machine group introduced contrast agent injection device to complete contrast sonography. The test result of the two groups were compared, include the success rate of 3D HyCoSy, adverse reactions in patients, the countercurrent of contrast medium and other complications. Results： There was no significant difference between the success rate of the two groups. Pain was the most common complication for the patients of the two groups and some accompanied by nausea, vomiting and fatigue. With 30 minutes bed rest, pain was relieved. Rate of the countercurrent of contrast medium constant of the machine injection group were significantly lower compared with that of manual injection group and the difference was statistically significant （P 〈0.05）.Conclusion： The 3D HyCoSy with contrast agent injection device can dynamically observe the whole process of contrast, with low incidence of contrast agent countercurrent, easy to operate, prevent from tubal rupture, improvement of image quality and diagnostic accuracy, which can widely applied in clinical work.