两种不同造影方法在子宫输卵管检查中的应用比较

Comparison of two different radiography methods in hysterosal pingography

目的比较两种不同造影方法在子宫输卵管检查中的应用效果。方法将2015年1月至2017年4月在河北省哈励逊国际和平医院诊治的不孕患者420例随机分为两组,两组均进行造影检查,造影剂均为碘海醇,一组使用数字化X线摄影检查（观察组）,一组使用数字肠胃机X线摄影检查（对照组）。比较两组的显影情况和术中造影逆入情况。结果两组患者在各宫腔的显影情况差异无统计学意义（P〉0.05）。输卵管的显影情况,观察组远端狭窄、远端梗阻、溃疡和憩室的检出率均高于对照组（P〈0.05）。对照组发生严重逆入的比例高于观察组（P〈0.05）。在轻微逆入和总逆入比例上,对照组均略高于观察组,但组间差异无统计学意义（P〉0.05）。结论数字化X线摄影在子宫输卵管方面的检查优势高于数字肠胃机X线摄影,且安全性较高。

Objective To compare application effect of two different radiography methods in hysterosalpingography.Methods 420 female infertility patients from January 2015 to April 2017 were selected and randomly divided into 2 groups,all examined by radiography with the contrast agent iohexol.The observation group received digital radiography and the control group received digital gastrointestinal radiography.The contrast echoes and contrast agent inverse approach of the two groups were compared.Results There was no statistically difference of intrauterine development between the two groups（P 〉0.05）.On fallopian tube development,the ratio of distal stenosis,relevance ratio of distal obstruction,ulcers and diverticula of observation group were all higher than the control group（P〈 0.05）.The proportion of severe reverse entry of the control group was higher than observation group（P 〈0.05）.There was no statistically difference in slight reverse entry and total reverse entry between the two groups（P〉 0.05）.Conclusion There were better examination advantages and higher security of digital radiography compared with digital gastrointestinal radiography in hysterosalpingography.