输卵管造影中双腔球囊导管顶端位置对输卵管显示率的影响

发布时间：2018-03-30 06:57

本文选题：子宫输卵管造影　切入点：双腔球囊导管　出处：《临床放射学杂志》2015年07期

【摘要】：目的探讨子宫输卵管造影(HSG)中,双腔球囊导管顶端位置的不同对该侧输卵管显示率的影响。方法选择HSG检查中导管顶端紧邻子宫角部且无明显间隙,当对比剂注入4~5 ml或对侧输卵管全程对比剂显影而该侧输卵管仍未见对比剂显示的受检者72例,按不同操作方法随机分为A、B、C三组进行对比研究。A组(23例):保持原状态,即不调整双腔球囊管的位置及球囊大小继续注药;B组(30例):放出球囊气体约0.5~1 ml后继续注药,以导管顶端周缘出现对比剂为度;C组(19例):在继续注药的同时轻拉导管,以导管不脱出为度。每次拉动持续时间不少于1 s,每拉动3次为1个观察周期。摄片观察、记录双侧输卵管的显示情况并作组间对照。数据分析采用SPSS 12.0进行卡方检验。结果 A组显示通畅率为30.43%(7/23),B组为76.67%(23/30);C组为63.16%(12/19)。A、B两组间对照,差异均有显著统计学意义(χ2=11.328,P=0.001);A、C两组间对照,差异均有统计学意义(χ2=4.497,P=0.034);B、C两组间对照,差异无统计学意义(χ2=1.040,P=0.308)。结论当导管顶端紧邻子宫角部时,适当减小球囊体积或向外轻拉导管是提高输卵管显示率的有效方法。
[Abstract]:Objective to investigate the effect of the position of the double lumen balloon catheter on the display rate of the lateral fallopian tube in hysterosalpingography. 72 patients who were injected with 4ml contrast agent or contrast salpinx during the whole course of contrast were divided into three groups randomly according to different operation methods. Group A was divided into three groups: group A (23 cases): to maintain the original state of the fallopian tube. That is, without adjusting the position and size of the double-lumen balloon tube, 30 cases of group B continued to inject drug: after releasing balloon gas about 0.5 ml, 19 cases of group C continued to inject drug after release of balloon gas, 19 cases of group C were treated with contrast agent around the top of the catheter: gently pull the catheter while continuing to inject the drug. Not less than 1 s for each pull, 1 observation cycle for each pull 3 times. The display of bilateral fallopian tubes was recorded and compared between groups. Chi-square test was performed with SPSS 12.0 in the data analysis. Results the patency rate of group A was 30.43 / 7 / 23 and that of group B was 76.67 / 23 / 30. The difference was statistically significant (蠂 ~ 2 / 11.328P ~ (0.001) P ~ (0.001)) between the two groups (蠂 ~ 2 / 11. 328P ~ (0.001)) and the control group (P < 0.05), and the difference was significant (蠂 ~ (2) 11.328P ~ (0.001) P ~ (0.001)). There were significant differences between the two groups (蠂 ~ 2 / 4.497) (蠂 ~ 2 / 4.497). There was no significant difference between the two groups (蠂 ~ 21.040). Conclusion when the top of the catheter is close to the uterus angle, the appropriate reduction of the balloon volume or the light pulling out of the tube is an effective method to increase the display rate of fallopian tube.
【作者单位】：广东省第二中医院放射科;
【分类号】：R711.6;R816.91

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