脉冲式推注法评估子宫输卵管超声造影中输卵管通畅性的价值  

The value of impulse injection in evaluating fallopian tube patency in hysterosalpingography

作　　者：薛正妹 彭成忠[2] 涂美琳[1] 马晓棠[1] 廉华[1] 姚洁[1] Xue Zhengmei

机构地区：[1]杭州市中医院,310007 [2]浙江省人民医院,310014

出　　处：《浙江临床医学》2019年第8期1018-1020,共3页Zhejiang Clinical Medical Journal

基　　金：杭州市卫计委科技计划项目(2017A62).

摘　　要：目的探讨脉冲式推注法评估子宫输卵管超声造影中输卵管全程不显影的再通显示价值.方法选择在子宫输卵管超声造影时,行持续推注法显示的输卵管全程不显影患者45例,再行脉冲式手工推注,观察输卵管的通畅性变化情况,并记录相关的并发症情况.结果持续推注法发现输卵管全程不显影的患者45例,其中43例一侧显影,一侧不显影;2例一侧部分显影,一侧不显影.在脉冲式推注后,输卵管从一侧不显影或部分显影至完全显影的有38例,再显示率为84.4%.脉冲式推注前后肌层逆流发生率等并发症情况无明显变化.结论脉冲式推注对于全程不显影的输卵管的再通显示有较大帮助,可以作为子宫输卵管超声造影的一个方法有效补充.Objective To explore the clinical value of impulse injection in evaluating the whole undeveloped fallopian tube recanalization during hysterosalpingo-contrast sonography. Methods In the cases of hysterosalpingo-contrast sonography,45 patients with nonvisualization of the whole fallopian tube by continuous injection were enrolled,then tube patency was observed by impulse injection,and the related complications were recorded. Results For continuous injection,45 patients were demonstrated with nonvisualization of the whole fallopian tube. Among these,43 cases were one side visualization and one side nonvisualization,2 cases were one side partial visualization and one side nonvisualization. During impulse injection,38 cases were from nonvisualization or partial visualization to visualization. The re-demonstration rate was 84.4%. There was no significant change in the incidence of muscular reflux and complications before and after impulse injection. Conclusion It has great clinical value of impulse injection for the whole undeveloped fallopian tube recanalization,and acts as an effective supplement to hysterosalpingo-contrast sonography.

关 键 词：超声 不孕症 子宫输卵管造影术 造影剂 脉冲式推注 输卵管再通 

分 类 号：R711.76[医药卫生—妇产科学]