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目的:探讨造影剂注射装置结合输卵管通液仪在实时三维子宫输卵管造影中的应用价值。方法:收集2014年至2015年南京中医药大学附属医院妇科就诊后行子宫输卵管造影检查的216例不孕患者,随机将其分为手工注射造影剂的手工注射组和使用造影剂注射装置结合输卵管通液仪的恒速注射组,比较两组造影检查成功率、患者不良反应、造影剂逆流情况等。结果:两组患者造影检查成功率差异无统计学意义;两组患者最常见的不良反应为疼痛,部分伴有恶心、呕吐、乏力等,卧床休息30 min后均得到缓解。造影剂逆流率比较,恒速注射组较手工注射组明显降低(P<0.05)。结论:在三维子宫输卵管造影中,使用造影剂注射装置结合输卵管通液仪可全程动态观察造影过程,造影剂逆流发生率低,操作简便,图像质量和诊断准确率较高,可在临床推广应用。
Objective: To investigate the value of contrast medium injection device combined with tubal liquid instrument in real-time three-dimensional hysterosalpingography. METHODS: A total of 216 infertile women who underwent gynecological examinations of gynecological examination at Affiliated Hospital of Nanjing University of Traditional Chinese Medicine from 2014 to 2015 were randomly divided into two groups: manual injection group with manual injection of contrast medium and contrast injection device with fallopian tube Constant speed injection of liquid instrument group, the two groups compared the success rate of angiography, adverse reactions in patients, contrast agent reflux and so on. Results: There was no significant difference in the success rate of angiography between the two groups. The most common adverse reactions in both groups were pain, some were accompanied by nausea, vomiting and fatigue. All patients were relieved after 30 minutes of bed rest. Contrast rate of contrast agent contrast, constant injection group was significantly lower than the manual injection group (P <0.05). Conclusion: In the three-dimensional uterine tubal angiography, the use of contrast agent injection device combined with tubal fluid dynamic observation of the entire process can be dynamic, contrast agent reflux rate is low, easy to operate, higher image quality and diagnostic accuracy, the clinical application .