非离子型对比剂低张子宫输卵管造影在不孕症中的诊断价值  

The value of hysterosalpingography using non-ionic contrast agent combined with low-tensive drug in diagnosis of infertility

作　　者：邓启伟 刘小军 沈君[2] 宋亭[3] 石健芬 姜国华 叶金青 

机构地区：[1]广东省增城市妇幼保健院放射科,511300 [2]中山大学附属第二医院放射科 [3]广州医学院第三附属医院放射科

出　　处：《影像诊断与介入放射学》2009年第2期83-85,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨非离子型对比剂结合低张法在子宫输卵管造影诊断不孕症中的临床价值。方法将203例欲行子宫输卵管造影术(HSG)的患者随机平均分为2组,其中108例术前30min肌注654-2(山莨菪碱)10mg,95例术前不用654-2,对两组病例影像质量、造影成功率进行对比分析。结果两组病例均未发生碘过敏反应。术前肌注654-2组的子宫输卵管造影图像质量和造影成功率均明显高于术前不肌注654-2组,经统计学分析有显著性差异(P<0.01)。结论非离子型对比剂子宫输卵管低张造影显影效果好,副作用少,安全性高,低张药物能有效缓解输卵管的痉挛,降低假阳性率,提高了诊断的准确率,减少病人在造影过程中的痛苦,值得临床推广应用。Objective To analyze the value of nonionic contrast agent combined with low tensive drug in the hysterosalpingography in diagnosis of infertility. Methods 203 patients with infertility were randomly classified into two groups. Group 1 contained 108 patients administrated intramuscularly anisodamine （654-2） 30 minutes before hysterosalpingography. 95 patients in group 2 did not use 654-2. Non-ionic contrast agent was used in all patients. The image quality and post-contrast displaying status of uterus and uterine tube between the two groups were analyzed. Results No allergic response occurred in all patients. The image quality and post-contrast displaying status of uterus and uterine tube of group 1 were obviously superior to that of group 2 （P 〈 0.01）. Conclusion Hysterosalpingography clearly showed lesions of uterus and uterine tube when using non-ionic contrast agent combined with low-tensive drug. It is more safety with less side effects. The contraction of uterine tube can be relieved by the low-tensive drug effectively, so as to decrease the false positive rate, raise the diagnostic accuracy, and lessen patients＇ sufferings. It is deserved to be applied generally.

关 键 词：不孕症 非离子型对比剂 子宫输卵管造影 低张法 

分 类 号：R711.6[医药卫生—妇产科学] R814.49[医药卫生—临床医学]