非离子型对比剂在子宫输卵管造影中的应用及不良反应分析

发布时间：2019-04-11 08:56

【摘要】：目的:探讨非离子型对比剂在子宫输卵管造影对于女性不孕的诊断价值和不良反应的处理。方法:搜集1214例于我院行子宫输卵管造影患者,回顾性分析其子宫输卵管造影宫腔与双侧输卵管显示情况,及患者不良反应情况。结果:1214例患者中,宫腔异常126例,包括先天性子宫发育不良及先天性畸形25例:幼稚型子宫3例,单角2例,双角1例,鞍形18例,双子宫双阴道1例和后天性病变101例:宫腔粘连81例,剖腹产切口憩室20例。输卵管通畅双侧83例,单侧317例;通而不畅双侧854例,单侧769例;阻塞双侧99例,单侧124例。所有患者不良反应均较轻,术后很快缓解消失。结论:非离子型对比剂管在子宫输卵管造影中使用方便,成像质量好,不良反应轻,可广泛在临床上的推广使用。
[Abstract]:Objective: to investigate the diagnostic value of Nonionic contrast medium in hysterosalpingography for female infertility and the management of adverse reactions. Methods: 1214 cases of hysterosalpingography in our hospital were retrospectively analyzed. The uterine cavity and bilateral fallopian tubes were displayed by hysterosalpingography and the adverse reactions of the patients were analyzed retrospectively. Results: among the 1214 cases, there were 126cases of uterine cavity abnormality, including 25 cases of congenital uterine dysplasia and congenital malformation, 3 cases of infantile uterus, 2 cases of single angle, 1 case of double angle and 18 cases of saddle shape. There were 1 case of double uterus and double vagina and 101 cases of acquired lesion: 81 cases of uterine cavity adhesion and 20 cases of cesarean incision diverticulum. There were 83 cases of bilateral patency of fallopian tubes, 317 cases of unilateral obstruction, 854 cases of bilateral obstruction, 769 cases of unilateral obstruction, 99 cases of bilateral obstruction and 124 cases of unilateral obstruction. The adverse reactions were mild in all patients and disappeared quickly after operation. Conclusion: Nonionic contrast tube is convenient to use in hysterosalpingography with good imaging quality and light adverse reaction. It can be widely used in clinical practice.
【作者单位】：同济大学附属第一妇婴保健院放射科;复旦大学附属华山医院放射科;
【分类号】：R711.6;R816.91

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