高压注射器不同速率对子宫输卵管造影的影响  

Influences of different flow rates of high pressure injector on hysterosalpingography

作　　者：鲍俊初[1] 胡菊华[1] 张翔鸣 黄嘉成[1] 杜绪仓[1] 

机构地区：[1]深圳市宝安区松岗人民医院放射科,广东深圳518105

出　　处：《实用放射学杂志》2017年第10期1605-1607,1615,共4页Journal of Practical Radiology

基　　金：深圳市宝安区社会公益资助项目（2015240）.

摘　　要：目的 用高压注射器采用不同速率行子宫输卵管造影（HSG）检查，分析患者在受检过程中出现对比剂逆流、球囊弹出及疼痛情况，明确不同速率的优缺点。方法 将行HSG检查的患者随机分为2组，即常规速率组（0.3 mL/s）和低速率组（0.15 mL/s）,记录2组受检患者出现对比剂逆流、球囊弹出及疼痛情况。采用t检验比较2组间年龄的差异；采用χ2检验比较2组间诊断结果、对比剂逆流及球囊弹出的差异；采用Wilcoxon秩和检验比较2组间出现疼痛的差异。结果 2组间年龄、诊断结果和对比剂逆流无显著性差异（t=1.237、χ2=0.004、χ2=1.521，P〉0.05）；2组间出现球囊弹出有显著性差异（χ2=17.319，P〈0.05）；不同速率组出现疼痛有显著性差异（U=-2.337，P〈0.05）。结论 用高压注射器低速率注入对比剂行HSG比较好。Objective To analyze the contrast agent back flow, balloon ejection and pain which appeared during the examination process,and define the advantages and disadvantages of different rates of high pressure injector to take hysterosalpingography （HSG） examination.Methods 229 patients who took HSG examination in our department were divided into two groups randomly.The rate of conventional group was 0.3 mL/s,and low rate group was 0.15 mL/s.The contrast agent back flow,balloon ejection and pain which appeared on the examined patients of two groups were recorded. T test was adopted to compare the age difference of two groups.Z2 test was used to compare the differences of diagnosis results,contrast agent back flow and balloon ejection of two groups.Wilcoxon rank sum test was used to compare the pain difference of two groups. Results Two groups had no significant differences on age, diagnosis results and contract agent back flow （t = 1.237,）χ2 = 0.004,χ2 = 1. 521, P 〉 0.05）. Balloon ejection of two groups had significant difference（ χ2= 17.319 ,P〈0.05 ）. The appeared pain of two groups had significant difference （U=-2.337 ,P〈0.05 ）.Conclusion Using high pressure injector to inject contrast agent with low flow rate is better for HSG.

关 键 词：高压注射 速率 子宫输卵管造影 

分 类 号：R322.65[医药卫生—人体解剖和组织胚胎学] R814.43[医药卫生—基础医学]