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患者女,25岁,因继发闭经临床怀疑先天性子宫发育不全而申请作子宫造影检查。造影时,随着造影剂的注入,未能显示出子宫腔形态,而见造影剂向造影导管两侧呈不规则状流动,流入盆腔内小肠肠管间隙的造影剂分布相对集中。此时患者下腹部胀痛剧烈。当即停止造影。本例子宫输卵管造影导致子宫破裂的原因是:患者为先天性子宫发育不全,操作者造影前却未能仔细探测宫腔大小,金属造影导管头部露出锥形橡皮头又较长;造影时,术者把锥形橡皮头紧顶子宫颈外口,金属导管头又顶住宫底壁,按常规剂量强行注入造影剂,致使宫体当场破
The female patient, 25 years old, applied for a uterine contrast examination because of a suspected secondary congenital uterine hypofunction due to secondary amenorrhea. Contrast, with the injection of contrast agent, failed to show the uterine cavity morphology, and see the contrast agent to the catheter on both sides of the irregular flow, the inflow of pelvic intestine intestinal contrast agent distribution is relatively concentrated. Patients with severe abdominal pain at this time. Immediately stop imaging. This case of hysterosalpingography cause uterine rupture is due to: the patient is congenital uterine hypoplasia, the operator failed to carefully detect the uterine size before imaging contrast, metal contrast catheter tip exposed rubber head longer cone; angiography, Surgeons put the rubber cone tight top of the cervix outside the mouth, the metal catheter and the top of the palace against the wall, according to the conventional dose forcibly injected contrast agent, resulting in on-the-spot palace broken