论文部分内容阅读
目的探讨油性及水溶性造影剂对输卵管通畅性显影的不同作用。方法选择2000~2014年该院门诊诊断的输卵管阻塞性不孕症患者93例,分为4组,A和B组为双侧近端阻塞病例,C和D组为双侧远端阻塞病例,分别进行A、B 2组及C、D 2组间2种造影剂输卵管造影双相对照。结果碘油造影较复方泛影葡胺造影在判断双侧输卵管近端阻塞有更高通畅率显示,而复方泛影葡胺造影较碘油造影在判断双侧输卵管远端阻塞有更高通畅率显示。结论碘油造影较复方泛影葡胺造影对判断双侧输卵管近端阻塞有更高准确性,而复方泛影葡胺造影较碘油造影对判断双侧输卵管远端阻塞有更高准确性。油性造影剂与水溶性造影剂对输卵管通畅性显影各有其优缺点。
Objective To investigate the different effects of oily and water-soluble contrast media on the development of tubal patency. Methods Ninety-three patients with tubal obstruction infertility diagnosed in our hospital from 2000 to 2014 were divided into four groups. Patients in group A and B were bilateral proximal obstruction, patients in group C and D were bilateral distal obstruction, Two groups of two contrast agents for tubal contrast were performed respectively in groups A, B 2 and C, D 2. Results Lipiodol angiography compared with the compound diatrizoate meglumine in judging the bilateral tubal obstruction has a higher patency rate, while the compound diatrizoic acid contrast angiography compared with lipiodol in judging the bilateral tubal distal obstruction has a higher patency rate display. Conclusion Lipiodol angiography compared with compound diatrizoate meglumine diabride to determine the bilateral proximal tubal obstruction with higher accuracy, and the compound diatrizoate meglumine contrast than lipiodol angiography to determine bilateral tubal distal occlusion with higher accuracy. Oily contrast agent and water-soluble contrast agent on the development of tubal patency have their own advantages and disadvantages.