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目的探讨非离子型对比剂在数字化子宫输卵管造影诊断女性不孕症中的应用价值。方法回顾性分析500例门诊女性不孕症患者的临床及子宫输卵管造影资料,所有病例均常规术前准备,采用双腔子宫造影管或带锥形硬管进行子宫插管,在电视透视下经导管缓慢注入水溶性非离子型造影剂优维显,动态观察子宫、输卵管显影及造影剂向腹腔弥散情况,并实时进行数字化图像采集。结果500例女性不孕症患者子宫腔、输卵管造影结果如下:子宫腔:正常374例,异常126例;输卵管:通畅166例(双侧119例,单侧47例),通而不畅82例(双侧63例,单侧39例),阻塞232例(双侧201例,单侧31例)。子宫输卵管均正常者85例,部分阻塞或通而不畅输卵管伴有不同程度积水和/或伞端囊性包裹。结论采用非离子型对比剂进行数字化子宫输卵管造影,较传统的碘油造影具有一定优势,对引起子宫输卵管腔形态学改变的不孕症的诊断价值确切。
Objective To investigate the value of non-ionic contrast agent in the diagnosis of female infertility by digital hysterosalpingography. Methods Retrospective analysis of 500 cases of female infertility clinic outpatient and hysterosalpingography data, all cases are routine preoperative preparation, the use of double-lumen uterine umbilical duct or catheter with uterine cannulation, under the TV perspective The catheter was slowly injected with water-soluble non-ionic contrast agent Youvxian dynamic observation of the uterus, fallopian tube development and contrast agent to the peritoneal dispersion, and real-time digital image acquisition. Results The results of uterine cavity and fallopian tube in 500 cases of female infertility were as follows: uterine cavity: 374 cases were normal and 126 cases were abnormal; tubal: unobstructed 166 cases (119 cases of bilateral, 47 cases of unilateral) (63 in both sides, 39 in unilateral) and 232 in obstruction (201 bilateral and 31 unilateral). 85 cases of uterine tubal were normal, partially obstructive or poor and smooth tubal accompanied by varying degrees of water and / or umbrella cystic wrapping. Conclusions The digitalized hysterosalpingography with non-ionic contrast agent has some advantages over the traditional lipiodol angiography. It is of definite value in the diagnosis of infertility caused by morphological changes of the oviduct in the uterus.