子宫输卵管造影中近端输卵管“梗阻”的方法学研究  

Method for Resolution of Promixal Tubal Obstructoin During Hysterosalpingography

作　　者：李守红[1] 郑晓华[1] 袁嘉骥[1] 谢宝君[1] 郭丽[1] 

机构地区：[1]武汉大学人民医院放射科,武汉430060

出　　处：《放射学实践》2005年第2期156-158,共3页Radiologic Practice

摘　　要：目的:提高子宫输卵管造影诊断输卵管“梗阻”的准确性。方法:338例来自生殖医学中心的不孕妇女,随机 分成四组:A组95例共184条输卵管,常规准备后行造影检查;B组71例共139条输卵管,造影中发现有近端输卵管梗 阻,分别将臀部向左侧或右侧抬高45°后再次造影;C组86例共169条输卵管,肌注654 210mg后10～30min行造影检 查;D组86例共169条输卵管,肌注654 210mg后10～30min行造影检查,在造影中发现有近端输卵管梗阻,分别将臀 部向左侧和右侧抬高45°后再次造影。结果:A、B、C、D4组的近端梗阻率分别为32.07%、15.83%、14.20%、7.91%,不同 造影方法间梗阻率差异有极显著性意义(P<0.01)。结论:子宫输卵管造影前肌注山茛菪碱同时在造影中抬高左侧和右 侧臀部45°的方法对显示子宫输卵管较好。Objective:To study the methods for resolution of proximal tubal obstruction during hysterosalpingography.Methods:338 women with infertility from the center for reproductive medicine of our Hospital,were divided into four groups at random:group A, B,C and D.Group A,95 women with 184 tubes,were performed conventional hysterosalpingography.In group C and D,including 86 women with 169 tubes respectively,were subjected to inject 10mg of 654-2 about 10 to 30 minutes before hysterosalpingography.In group B and D,promixal tubal “obstruction” during hysterosalpingography were observed,and then the patients were rotated approximately 45°to left or right oblique position and the proceduse was continued.Results:The rates of obstruction in group A,B,C and D were 32.07%,15.83%,14.20% and 7.10% respectively.Conclusion:By intramuscular injection with 654-2 and patient′s rotation,resolution of promixal tubal obstruction could be achieved during the hysterosalpingography.

关 键 词：子宫输卵管造影术 输卵管梗阻 不育 

分 类 号：R711.6[医药卫生—妇产科学]