提高子宫输卵管造影质量的方法研究(附38例分析)  

Individualization of Patient Positioning for Hysterosalpingography

作　　者：蔡和 周芸 邓奇凯 汤永强 庄海斌 陈志华 

机构地区：[1]铅山县中医院放射科,江西334500 [2]铅山县中医院妇产科

出　　处：《放射学实践》2006年第6期626-628,共3页Radiologic Practice

摘　　要：目的:评价子宫输卵管造影体位改进前、后方法的子宫、输卵管各部显示、弥散盆腔及成功率。方法:38例不孕症患者,子宫输卵管造影体位改进方法前16例(子宫前倾11例、后倾3例、左、右倾各1例),均采用仰卧位。改进方法后22例,子宫前倾者15例,采取俯卧位下腹部垫高20°～25°;后倾者4例,采取仰卧位诊视床头低足高25°～30°;左倾者1例、右倾者2例均采取左、右前斜位10°左右。结果:子宫输卵管造影体位改进前后的对比,子宫、输卵管各部显示、弥散盆腔率,改进后的方法(A等级)优于改进前,其两者P<0.01则差异有极显著性意义。结论:对子宫不同的倾斜角度,采用不同体位角度造影,可以提高不同部位的成像质量,子宫、输卵管各部显示、弥散盆腔及成功率明显高于改进前的方法。Objective： To improve the quality of hysterosalpingography by individualizing the patient positioning of examination. Methods： Sixteen women with infertility （uterus anteflexed 11, retroverted 3, left tilt 1 and right tilt 1） underwent hysterosalpingography in conventional supine position. Twenty-two cases were examined with individualized posture： 15 with anteflexed uterus were examined in prone position with elevation of pelvic region for 20°-25°4 with retroverted uteri were examined in supine position with head side lowered for 25°-30°women with left （n= 1） and right （n=2） deviation of uterus were examined in approximately 10°right or left anterior oblique position. The quality of hysterosalpingography of the two groups were compared. Results. Hysterosalpingography with individualized patient positioning can better display uterus and Fallopian tube than that with conventional supine position, and there was significant difference （P〈0.01）. Conclusion：Individualization of patient positioning can improve success rate of hysterosalpingography and cause better demonstration of uterus and Fallopian tube.

关 键 词：子宫输卵管造影术 放射学 介入性 体位 

分 类 号：R816.91[医药卫生—放射医学]