子宫输卵管超声造影检查患者副反应的临床分析  

Clinical analysis on side effects of hysterosalpingo contrast sonography

作　　者：查晓霞[1] 邓晓杨[2] 游岚岚[1] 周江英[1] 温彪[1] ZHA Xiaoxia DENG Xiaoyang YOU Lanlan ZHOU Jiangying WEN Biao(Department of Ultrasound, the First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China)

机构地区：[1]成都医学院第一附属医院超声科,成都市610500 [2]成都医学院第一附属医院妇产科,成都市610500

出　　处：《临床超声医学杂志》2017年第3期182-185,共4页Journal of Clinical Ultrasound in Medicine

基　　金：四川省卫生厅科研课题(120474)

摘　　要：目的评价子宫输卵管超声造影检查患者的副反应情况。方法通过询问和观察了解超声子宫输卵管造影检查的356例患者发生副反应的类型和程度,并电话随访检查后1个月内的并发症。评价疼痛副反应的程度采用11点数字评分法;分析发生副反应与输卵管梗阻的相关性。结果 356例患者中,副反应主要表现为疼痛和迷走神经反应,发生率分别为42.4%(151/356)和9.0%(32/356)。疼痛副反应和迷走神经副反应与输卵管通畅状态均呈正相关(r=0.624、0.574,均P=0.000);并发症主要为检查后持续阴道少量出血(13例)和盆腔感染(1例)。结论子宫输卵管超声造影检查的主要副反应为疼痛和迷走神经反应,输卵管梗阻患者尤其易发生,盆腔感染并发症极少发生。Objective To evaluate the side effects of hysterosalpingo contrast sonography （HyCoSy）. Methods Three hundred and fifty-six infertile women were examined by HyCoSy, and the side effects were observed for at least 30 minutes after the procedure. The complications were followed up within l month. Tolerability to the procedure was evaluated by means of an 11- point numeric rating scale of the pain experienced. The correlation between the side effects and tubal patency was analyzed. Results Among the 356 patients, 151 cases （42.4%） complained of obvious pain and 32 cases （9.0%） experienced mild vasovagal reactions. There was postive correlation of pain experience and vasovagal reactions between patients with patent tubes and those with obstructed tubes （r=0.624,0.574, all P=0.000）. The main late complications were vaginal bleeding in 13 cases and acute pelvic phlogosis in 1 case. Conclusion HyCoSy is a safe examination,its main side effects are pain and vasovagal reactions, which is mainly caused by obstructed tubes. Late complications such as pelvic phlogosis are very few.

关 键 词：超声检查 造影剂 子宫输卵管 疼痛副反应 迷走神经反应 输卵管梗阻 

分 类 号：R445.1[医药卫生—影像医学与核医学]