两种造影剂推注方法在不孕症患者子宫输卵管造影检查中的应用价值对比

Comparison of the application value of two contrast agent injection methods in hysterosalpingography

目的分析两种造影剂推注方法在子宫输卵管造影检查中的应用价值。方法选取2015年1月~2017年3月我院收治的377例不孕症患者作为研究对象,按照造影剂推注方法不同将其分为对照组(n=130)和观察组(n=247)。对照组由医师推注子宫输卵管造影剂,观察组利用远程技术操作微量注射泵向患者体内推注子宫输卵管造影剂,分析两组患者造影后的影像质量、诊断结果、疼痛情况(用VAS评估疼痛程度)。结果观察组患者的图像质量甲乙级比例(100.00%)显著高于对照组(73.85%)(P<0.01);两组患者的输卵管造影结果比较,差异无统计学意义(P>0.05),但两组的子宫造影比较,差异有统计学意义(P<0.01);观察组患者输注造影总疼痛者59例(23.89%),显著低于对照组的107例(82.31%)(P<0.01);观察组患者的VAS评分[(1.71±0.35)分]显著低于对照组[(6.45±1.12)分],差异有统计学意义(P<0.01)。结论利用远程技术操作微量注射泵向患者体内推注子宫输卵管造影剂可有效保障造影图像质量,减轻患者痛苦,还可提高诊断准确性。

Objective To analyze the difference in the value of two contrast agent injection methods in hysterosalpingography.Methods A total of 367 patients with infertility who were treated in our hospital from January 2015 to March2017 were selected as the subjects,and divided into the control group（n=130） and observation group（n=247） according to the contrast injection method.In the control group,the physician manually injected the uterine tubal contrast agent at the bedside.The observation group used the remote technique to operate the microinjection pump to inject the uterine tubal contrast agent into the patient′ s body.The image quality,diagnostic results,and pain status of the two groups were analyzed（VAS was used to assess the degree of pain）.Results The image quality of the observation group（100.00%） was significantly higher than that of the control group（73.85%）（P〈0.01）.There was no significant difference in the results of the fallopian tube angiography between the two groups（P〉0.05）,but the difference of the uterine angiography between the two group was statistically significant（P〈0.01）.The total pain of the infusion imaging in the observation group was 59 cases（23.89%）,which was significantly lower than the control group for 107 cases（82.31%）（P〈0.01）.VAS scores in the observation group（[1.71 ±0.35] points） was significantly lower than that in the control group（[6.45±1.12] points）,the difference was statistically significant（P〈0.01）.Conclusion The use of remote technology to operate the microinjection pump to inject the contrast agent into the patient′s body can effectively protect the quality of the contrast image,reduce the patient′s pain and improve the diagnostic accuracy.