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1. 重庆医科大学附属第一医院辅助生殖中心
2. 重庆市人口和计划生育科学技术研究院遗传优生所
纸质出版日期:2011,
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[1]陈莹,张益,丘彦,桂文武,刘西茹,王炼炼,李恬,李维宏.子宫输卵管造影的相关影响因素分析[J].重庆医科大学学报,2011,36(06):741-744.
CHEN Ying1, ZHANG Yi2, QIU Yan1, et al. Investigation on effect factors on hysterosalpingography[J]. Journal of Chongqing Medical University, 2011,36(6):741-744.
[1]陈莹,张益,丘彦,桂文武,刘西茹,王炼炼,李恬,李维宏.子宫输卵管造影的相关影响因素分析[J].重庆医科大学学报,2011,36(06):741-744. DOI: 10.13406/j.cnki.cyxb.2011.06.023.
CHEN Ying1, ZHANG Yi2, QIU Yan1, et al. Investigation on effect factors on hysterosalpingography[J]. Journal of Chongqing Medical University, 2011,36(6):741-744. DOI: 10.13406/j.cnki.cyxb.2011.06.023.
目的:分析子宫输卵管造影(Hysterosalpingography
HSG)中使用双腔球囊导管置管和注药过程中影响诊断的相关因素
并分析预防措施。方法:搜集2007年1月至2010年11月在本院行HSG的患者2 308例
均使用双腔球囊导管。比较不同球囊大小、导管顶端插入深度和不同通液速度对HSG的影响。结果:不同球囊大小造影剂外溢、导管脱出、发生人工流产综合征和宫腔显影不全的比例有明显差异
部分差异有统计学意义(P<0.05);导管顶端位于输卵管开口处者82.69%(640/774)同侧输卵管、宫角不显影
经调整后71.45%(553/774)同侧宫角显影
55.17%(427/774)同侧输卵管显影;导管顶端位于宫腔内、宫颈管内者有37例和7例宫腔部分显影或不显影
经调整后宫腔均正常显影;不同通液速度疼痛和输卵管再通的比例有显著的统计学差异(P<0.05)
而淋巴静脉返流的比例无显著的统计学差异。结论:在子宫输卵管造影中
根据宫腔大小和位置选用适当的球囊大小、导管位置和通液速度
获得最好的显影效果同时预防手术并发症的发生。
Objective:To analyze the effect factors on diagnosis with hysterosalpingography in the period of insertion of balloon catheter and injection of imaging reagents and determine preventing methods.Methods:2 308 women for hysterosalpingography with balloon catheter from January 2007 to November 2010 were observed.The results by the influence of different volumes of balloon
the locations and depths of catheter and different volumes of balloon were observed.Results:There was difference between three groups in the proportion of overflow of contrast agent
falling of catheter
artificial abortion syndrome and partial vision of uterus.Some of the difference was statistically significant(P<0.05).The uterine tubes and the uterine horns of catheter side were not patent in 82.69% cases(640/774) with the top of the catheters in the orifice of uterine tube
of which 71.45% cases(553/774) of uterine horns and 55.17% cases(427/774)of uterine tubes were patent after adjustment.There were 37 and 7 cases in which the catheters were in the uterus cavity and cervix respectively
and the uterus cavities were not patent normally.After adjustment
they were patent well.There were significant differences between the three groups of different speed of injection in the pain of patients and recanalization
but was no difference in lymphatic and venous backflow.Conclusion:In hysterosalpingography
we should choose appropriate volume of balloon
location and depth of catheter and speed of injection to get the best results and prevent complication.
子宫输卵管造影不孕球囊导管
hysterosalpingographyinfertilityballoon catheter
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