子宫输卵管碘水造影257例临床X线分析及效果评估

Actinograph analysis and effect evaluation of iodine hysterosalpingography on infertilitas feminis (report of 407 cases)

目的通过观察不孕症患者子宫输卵管碘水造影的X表现,分析不孕症的原因。方法257例不孕症患者用50%的泛影葡胺按常规进行子宫输卵管造影术和摄片,指明其适应症及禁忌症及操作方法步骤。结果121例原发性不孕症患者中,子宫异常占30.58%,其中子宫先天畸形占21.49%,子宫结核占7.44%,输卵管异常占79.34%,输卵管炎68.60%,输卵管结核占11.57%;兼有子宫和输卵管变占9.09%。136例继发性不孕中,子宫异常占14.20%;其中子宫内膜炎11.51%,子宫结核占2.69%,输卵管病变占90.44%,其中输卵管炎占88.24%,输卵管结核3.68%,兼子宫和输卵管病变的占5.88%。结论子宫输卵管碘水造影分析了碘水造影的优缺点,突出碘水造影优于碘油。

Objective: To analysis the causes of infertility by observation of the actinograph of iodine hysterosalpingography.Methods: 257 patients with infertility were received the conventional hysterosalpingography and photograph.Results: 121 patients was primary sterility: the rate of uterine disease was 30.58%(the rate of uterine congenital deformity was 21.49%,the rate of uterine tuberculosis was 7.44%),the rate of fallopian tubes diseases was 79.34%(the rate of salpingitis was 68.60%,the rate of tuberculosis of fallopian tube was 11.57%).136 patients was secondary infertility: the rate of uterine disease was 14.2%(the rate of endometritis was 11.51%,the rate of uterine tuberculosis was 2.69%),the rate of fallopian tubes diseases was 90.44%(the rate of salpingitis was 88.24%,the rate of tuberculosis of fallopian tube was 3.68%,the rate of metrosalpingitis was 5.88%).Conclusion: The iodine hysterosalpingograph is better than iodized oil hysterosalpingograph.