缩短碘油子宫输卵管造影延迟片拍摄时间可行性研究  

A study on the feasibility of shortening the time before taking delayed radiographs after iodized oil hysterosalpingography

作　　者：李莹莹 鲁景元[2] 徐文健[2] LI Ying-ying;LU Jing-yuan;XU Wen-jian(Women’s Hospital of Nanjing Medical University(Nanjing Maternity and Child Health Care Hospital),Nanjing 210004,China)

机构地区：[1]南京医科大学附属妇产医院(南京市妇幼保健院)功能检查科,江苏南京210004 [2]南京医科大学附属妇产医院(南京市妇幼保健院)介入科,江苏南京210004

出　　处：《中国实用妇科与产科杂志》2021年第10期1049-1053,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：江苏省妇幼保健协会项目(FYX202010)。

摘　　要：目的验证运动缩短碘油子宫输卵管造影(hysterosalpingography,HSG)延迟片拍摄时间的可行性。方法选取2018年6月至12月在南京医科大学附属妇产医院行碘油HSG且符合入组标准的不孕患者共100例,随机分入运动组(50例)和对照组(50例)。运动组要求在HSG术后6h内,累计步行10000步以上;对照组术后6h内避免高强度运动,步行少于3000步。分别摄取两组受试者6h与24h延迟片对盆腔粘连程度进行诊断,并通过Kappa检验评估两个时间点延迟片的诊断一致性。结果运动组6h与24h延迟片诊断结论对比,两者一致性较高(McNemar检验P=0.223,Kappa值0.917);而对照组6h与24h延迟片诊断一致性一般(McNemar检验P=0.002,Kappa值0.493)。结论通过指导患者HSG术后适量步行运动缩短碘油子宫输卵管造影延迟片拍摄时间的方法是可行的,提高了油性对比剂的诊断效率,节省了患者的时间和经济成本,有利于HSG在不孕症筛查中的推广普及,具有良好的临床应用前景。Objective To verify the feasibility of walking to shorten the time before obtaining delayed radiographs after iodized oil hysterosalpingography(HSG).Methods One hundred women with infertility were selected for HSG from June 2018 to December 2018 at the Women’s Hospital of Nanjing Medical University;the subjects were randomly divided into walking and control groups(50 in each).The walking group was required to walk 10000 steps within 6 hours after HSG,while the control group was prohibited from performing high-intensity exercise within 6 hours,i.e.walking less than 3000 steps.The degree of pelvic adhesion was diagnosed with delayed radiographs acquired at 6 and 24 hours,and the diagnostic consistency of the radiographs at the two time points was evaluated.Results The delayed radiograph results in the walking group showed good agreement(P=0.223,Kappa value 0.917),while those in the control group showed fair agreement(P=0.002,Kappa value 0.493).Conclusion The time for acquiring delayed radiographs can be shortened by instructing patients to walk after HSG.This method improves the diagnostic efficiency of the contrast agent,saves time and costs,and may contribute to the popularization of HSG in female infertility screening,which has good clinical application prospects.

关 键 词：子宫输卵管造影 碘化油 延迟片 盆腔粘连 自身对照试验 

分 类 号：R711.6[医药卫生—妇产科学]