鞘管无痛性输卵管造影法与传统宫腔造影管法的比较研究  

Comparative study of painless hysteronsalpingography by sheath with traditional hysterosalpingography

作　　者：刘明明[1] 梁宇霆[1] 苗杰[1] 孟颖[1] 杜静[1] 李彪[1] Liu Mingming;Liang Yuting;Miao Jie;Meng Ying;Du Jing;Li Biao(Department of Radiology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100006,China)

机构地区：[1]首都医科大学附属北京妇产医院放射科,100006

出　　处：《北京医学》2019年第4期276-279,共4页Beijing Medical Journal

摘　　要：目的探讨无痛性输卵管造影法与传统宫腔造影管法输卵管显影的差异。方法回顾性分析2015年8月至2017年10月于首都医科大学附属北京妇产医院行子宫输卵管造影(hysterosalpingography, HSG)检查的12 834例患者的资料,比较两种造影方法输卵管显影率、图像质量及不良反应情况。结果两种造影方法在输卵管显影率及通畅程度方面的差异无统计学意义(P> 0.05);不良图像质量发生率观察组少于对照组(3%vs. 10%),差异有统计学意义(P <0.05),不良反应发生率亦低于对照组(24%vs. 45%),差异有统计学意义(P <0.05)。结论两种造影方法显影率虽无差异,但鞘管无痛性造影方法疼痛程度低,图像质量好,能有效减轻患者对造影检查的恐惧心理,更适用于临床,尤其适用于宫颈口小的女性,而传统宫腔造影管法更适用于顺产后或宫颈炎症导致宫颈口较大的女性。Objective To explore the difference between painless hysterosalpingography and traditional method in the evaluation of fallopian tube imaging.Methods The data of 12 834 patients with hysterosalpingography(HSG)from August 2015 to October 2017 were retrospectively analyzed.Patients with painless hysteronsalpingography were included in the observation group(n=6 133),patients with traditional hysteronsalpingography were included in the control group(n=6 701).The fallopian tube displaying rate and image quality of the two groups were compared.Results There was no statistical difference between the observation group and the control group in the displaying rate of the fallopian tube.The incidence of poor image quality in the observation group was less than that in the control group(3%vs.10%).The incidence of adverse reactions in the observation group was lower than that in the control group(24%vs.45%),the differences were statistically significant.Painless angiography was significantly less painful than traditional method,and the incidence of adverse reactions during HSG examination was lowei;Conclusions Although there is no difference in displaying rate of the fallopian tube between the two methods,the painless angiography has lower pain and better image quality.It can effectively reduce the patient's fear of angiography.It is more suitable for clinical practice,especially for women with small external os of cervix,while the traditional method is more suitable for women with larger external os of cervix caused by postpartum or cervical inflammation.

关 键 词：不孕 子宫输卵管造影 鞘管 宫腔造影管 

分 类 号：R711.6[医药卫生—妇产科学]