子宫输卵管造影120例临床分析

摘要

目的：探讨子宫输卵管造影诊断不孕症的临床应用价值。方法：选取2010年3月-2013年7月笔者所在医院收治的行子宫输卵管造影的120例患者，所有患者均采用X线片观察造影剂流经子宫输卵管情况并摄片，观察术中患者的腹痛症状、注入造影剂时感觉到的阻力情况、造影剂用量以及造影剂返流情况等。结果：X线片结果显示，120例患者中双侧通畅66例，单侧通畅33例，双侧梗阻21例。双侧通畅患者的腹痛、阻力以及返流发生率均明显低于单侧通畅和双侧梗阻患者，双侧通畅患者所用造影剂量明显多于单侧通畅和双侧梗阻患者，差异均有统计学意义(P<0.05)。结论：医护人员可根据患者腹痛情况、是否有阻力感和造影剂的返流情况以及造影剂的用量，初步判断输卵管的通畅情况，与X线片结果结合对于诊断输卵管性不孕症具有一定的诊断价值。%Objective:To explore the clinical application value of hystero-salpingography in the diagnosis of infertility.Method:Selected from March 2010 to July 2013 received 120 cases hystero-salpingography,all patients were using X-ray radiation observation of contrast agent through the fallopian tubes and uterine radiography,observed in patients with symptoms of abdominal pain,feel the resistance situation when injection of contrast agent,the dosage of contrast agent and contrast regurgitation,and so on.Result:According to the results of 120 cases of X-ray radiography,bilateral flow of 66 cases in patients, unilateral unobstructed of 33 cases,bilateral obstruction of 21 cases.Double side flow resistance in patients with abdominal pain,and incidence of regurgitation were significantly lower than patients with unilateral unobstructed and bilateral obstruction,used imaging dose more than patients with bilateral unobstructed unobstructed and double side obstruction in patients with unilateral,the differences were statistically significant(P<0.05).Conclusion:Medical personnel can according to the situation of patients with abdominal pain,sense of resistance and regurgitation of contrast agents and the amount of contrast agent,the preliminary judgment of tubal patency,combined with X-ray radiography results has certain diagnostic value for diagnosis of oviduct infertility.