子宫输卵管造影改进方法的临床应用  

Clinical application of improvement method of Hysterosalpingography

作　　者：冯长征[1] 郭庆禄[1] 魏北阳[1] 叶志球[1] 刘永熙[1] 张嫣[1] 

机构地区：[1]广东省妇幼保健院放射科,510010

出　　处：《中国临床实用医学》2010年第1期53-55,共3页China Clinical Practical Medicine

基　　金：广东省中医药局科研基金（项目编号：WSTJJ2008380）

摘　　要：目的探讨输卵管造影改进方法的临床诊疗价值。方法对664例不孕症患者，从子宫通水造影注水腔注入2ml空气，造影剂为76％泛影葡胺或欧乃派克，并运用注射泵自动推造影剂行子宫输卵管造影检查，并在透视下实时点片。结果常规注射泵注药时双侧输卵管显示557例，显示率83．88％（557／664）；移动造影管及用机械臂于盆腔上部边加压后有619例显示双侧，显示率93．22％（619／664），显示率提高了9．34％。223例显示输卵管通而不畅或输卵管积水，14例显示单角子宫或双角子宫等子宫畸形。结论改进方法可以提高造影质量、达到更好的诊断效果和输卵管再通效果。Objective To explore clinical diagnostic and treatment value of improvement method of Hysterosalpingography（ HSG）. Methods 664 patients with infertility underwent HSG of compressive injection 76% urografin or omnipaque with injection pump and the ballon with injection air with a ballon catheter and real spot film under fluoroscopy. Results Common HSG showed bilateral fallopian tubes in 557 cases （83.88%） and unilateral fallopian tubes in 66 cases. Improvement method of Hysterosalpingography showed bilateral fallopian tubes in 619 cases（93.22% ）. The showing rate increased 9.34%. There were found 14 uterine malformation, and abnormal diffusion and absorption of contrast medium in 223. Conclusion Improvement method of Hysterosalpingography can significantly elevate the quality of HSG and recanalized efficacy of fallopian tube.

关 键 词：子宫输卵管造影 不孕 方法 改进 

分 类 号：R711.6[医药卫生—妇产科学] R711.76[医药卫生—临床医学]