低压推注造影剂在子宫输卵管超声造影中的应用

发布时间：2018-02-26 20:05

本文关键词： 不育女(雌)性子宫输卵管造影术超声检查造影剂　出处：《中国医学影像学杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨低压推注造影剂在子宫输卵管造影中降低逆流发生率、提高患者检查舒适度的临床应用价值。资料与方法收集498例不孕症患者,观察采用低压推注造影剂经阴道实时三维子宫输卵管超声造影时输卵管的峰值压力、逆流及不良反应发生率,比较不同通畅度输卵管之间的峰值压力、逆流发生率差异。结果双侧输卵管通畅、通而不畅、阻塞的造影剂压力分别为(22.47±5.96)k Pa、(37.24±8.83)k Pa、(44.64±7.73)k Pa,3组间比较差异有统计学意义(F=70.35,P0.05)。498例患者逆流发生率26.31%,其中双侧输卵管通畅、通而不畅、阻塞的逆流发生率分别为18.00%,30.21%,43.59%,3组间比较差异有统计学意义(χ2=15.59,P0.05)。无或轻、中、重度不良反应发生率分别为88.96%、10.64%、0.4%。结论子宫输卵管造影中低压推注造影剂可减少逆流发生率,提高患者检查舒适度,值得临床推广应用。
[Abstract]:Objective to study the clinical application value of low-pressure injection contrast agent in hysterosalpingography to reduce the incidence of reflux and improve the comfort of the patients. The peak pressure, countercurrent and adverse reaction rate of fallopian tube were observed with low-pressure push contrast agent transvaginal real-time three-dimensional hysterosalpingography, and the peak pressure between fallopian tubes with different patency was compared. Results the adverse flow rate of bilateral fallopian tubes was 22.47 卤5.96 kPA (37. 24 卤8. 83) and the incidence of countercurrent was 26. 31, respectively. There was significant difference among the three groups (P 0. 035, P 0. 05. 498), and the bilateral tubal was patency, patency and unobstructed, there was no significant difference among the three groups, and there was no significant difference among the three groups, and the incidence of countercurrent was 26. 31%, in which the bilateral oviducts were patency, patency was not smooth, and there was no significant difference among the three groups. The incidence of countercurrent obstruction was 18.00 and 30.21, respectively. There were significant differences among the three groups (蠂 ~ 2 ~ 2 ~ (15.59)) (蠂 ~ (2) = 15.59) (P _ (0.05)). The incidence of adverse reactions in no or light, moderate and severe cases were 88.96 ~ 10.64 ~ 0.40.Conclusion low pressure injection of contrast agent in hysterosalpingography can reduce the incidence of countercurrent. It is worth popularizing clinical application to improve the comfort of patients.
【作者单位】：广州中医药大学;广州军区广州总医院超声影像科;
【基金】：中国健康促进基金会&医学数字影像专项基金(MID2013R0002)
【分类号】：R445.1;R711.6

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