两种球囊导管在三维子宫输卵管超声造影中的应用研究

Application of two kinds of balloon catheters in transvaginal three- dimensional hysterosalpingo-contrast sonography

目的:评估和比较两种不同球囊导管在阴道三维子宫输卵管超声造影(3D HyCoSy)中的应用。方法:将186名不孕患者随机分为子宫通液管组和Foleys双腔管组,患者先阴道超声检查评估子宫和卵巢,再宫腔置管后行3D HyCoSy检查,比较两组患者宫腔置管成功率、不良反应以及视觉模拟评分法(VAS)疼痛评分结果。结果:两组患者均完成3D HyCoSy检查,两组患者年龄、输卵管通畅度差异无统计学意义(P>0.05)。置管成功率Foleys双腔管组为100%(92/92),高于子宫通液管组的95.74%(90/94)(P<0.05)。两组患者的疼痛VAS评分中,Foleys双腔管组的中、重度疼痛患者明显少于子宫通液管组(P<0.05)。结论:与子宫通液管相较,应用Foleys双腔管行3DHyCoSy宫腔置管成功率高,患者检查耐受性好。

Objective: To evaluate and compare the application value of two different balloon catheters in transvaginal real-time three-dimensional hysterosalpingo-contrast sonography(3D HyCoSy). Methods: One hundred and eighty-six infertile patients were randomly divided into two groups,i.e.,uterine fluid tube group and Foley s double-lumen tube group. The patients underwent transvaginal ultrasound examination first to assess the status of uterus and ovaries,and then the 3D HyCoSy was conducted after uterine catheterization. Success rate,adverse reactions and results of pain VAS score were compared between the two groups. Results: 3D HyCoSy was performed successfully in the two groups. There was no significant difference in age and fallopian tube patency between the two groups. The success rate of catheter insertion was 100%(92/92) in Foley s double-lumen group,which was higher than that of uterine tube group 95.74%(90/94). The difference between the two groups was statistically significant( P <0.05). In Foley s double-lumen group,patients of severe pain were fewer than those in the uterine tube group. Conclusion: Compared with the uterine tube group,the Foley s dual-lumen tube has a high success rate of 3D HyCoSy uterine catheterization,and patients have better pain tolerance.