532例不孕症行子宫输卵管碘油造影的临床应用评价  

Evaluation of Clinical Aplpication on Hysterosalpingography in 532 Infertile Women

作　　者：李东亚 柏小琴 

机构地区：[1]四川省达州市计划生育指导所 [2]达州市生殖医院,四川达州635000

出　　处：《实用妇产科杂志》2013年第6期471-473,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:评价子宫输卵管碘油造影术(HSG)在女性不孕症的应用价值。方法:对达州市生殖医院2009年1月至2010年5月532例女性不孕症患者行HSG的临床资料进行回顾性分析,比较20～30岁和≥31岁不同年龄段子宫显影和输卵管显影情况及HSG术中、术后的不良反应和随访其后的妊娠结局。结果:①宫腔形态异常109例(20.5%),其中≥31岁年龄段宫腔粘连所占比例(24.5%)高于20～30岁(14.5%),差异有统计学意义(P<0.01)。输卵管阻塞196例(36.8%),其中≥31岁年龄段输卵管阻塞比例(62.9%)明显高于20～30岁(17.2%),差异有统计学意义(P<0.01)。②术中所有患者均有不同程度的疼痛,能忍受,有4例出现呛咳、心慌;术中和术后均无大出血、感染、输卵管破裂、过敏性休克发生。③成功随访94例患者1年,自然受孕17例(18.1%)。结论:HSG发生不良反应少,可以明确显示子宫形态、输卵管目前状态、阻塞部位,表明有很好的临床应用价值。对大于31岁的不孕症患者建议首先进行HSG检查,为下一步诊疗提供帮助。Objective： To evaluate the clinical aplpication of hysterosalpingography （HSG）in infertile women. Methods：The clinical records of 532 infertile women received HSG in Dazhou Municipality Repro- duction Hospital from Jan 2009 to May 2010 were retrospectively analyzed. The rates of uterus cavity adhe- sion and Fallopian tubal blockage were compared between 20 to 30 years old and i〉31 years old groups. The adverse reactions were observed in and after procedure for HSG. The pregnancy results were observed in part cases. Results ：①There were 109 cases with abnormal uterus cavity （20.5%）. The rate of uterus cavity adhesion were significantly higher in ≥31 years old group （24.5%） than that in 20 to 30 years old group （14. 5% ） （P 〈0. 01 ）. There were 196 cases with fallopian tubal blockage（36.8% ）. The rate of fallopian tubal blockage were significantly higher in ≥31 years old group（62.9%） than that in 20 to 30 years old group （17.2%） （ P 〈 0.01 ）.②All cases had feeling of different degree bearable pain and 4 cases had cough and palpitation in the procedures of HSG. All cases had no heavy bleeding,infection,fallopian tubal rupture,allergic shock in and after the procedures. ③94 cases were followed up for 1 year, 17 cases got spontaneous gestations（18. 1% ）. Conclusions： HSG with rare adverse reactions can show shape of uterus cavity clearly,fallopian tubal patency or position of blockage. HSG is valuable for clinical application,therefore it should be firstly performed in infertile women with ≥31 years old to provide help for next diagnosis and treatment.

关 键 词：子宫输卵管碘油造影 不孕症 子宫 输卵管 

分 类 号：R711.6[医药卫生—妇产科学]