CAJ | 학술논문

目的：比较不同浓度非离子型碘对比剂在子宫输卵管造影术(HSG)中的图像质量及不良反应。方法将本研究中接受 HSG 的99例女性不孕患者平均分为 A、B、C 组。对比剂用法如下：A 组使用碘美普尔注射液(400 mg I/mL),B 组使用碘帕醇注射液(370 mg I/mL),C 组使用碘海醇注射液(300 mg I/mL)。2名医师采用3分制(1~3分),独立评价图像质量,并记录不良反应。结果(1)图像质量评分：所有图像都满足诊断要求,A 组(2.55±0.51)分,B 组(2.42±0.50)分,C 组(2.21±0.42)分,组间差异有统计学意义(H=7.790,P=0.022)。图像评分的 Kappa 值：A 组0.693,B 组0.687,C 组0.672。(2)不良反应：A 组4例(12.12%),B组3例(9.09%),C 组2例(6.06%),差异无统计学意义(χ2=0.733,P =0.693)。结论3种浓度的非离子型碘对比剂均可应用于HSG。碘浓度越高,图像对比度越好。
목적：비교불동농도비리자형전대비제재자궁수란관조영술(HSG)중적도상질량급불량반응。방법장본연구중접수 HSG 적99례녀성불잉환자평균분위 A、B、C 조。대비제용법여하：A 조사용전미보이주사액(400 mg I/mL),B 조사용전파순주사액(370 mg I/mL),C 조사용전해순주사액(300 mg I/mL)。2명의사채용3분제(1~3분),독립평개도상질량,병기록불량반응。결과(1)도상질량평분：소유도상도만족진단요구,A 조(2.55±0.51)분,B 조(2.42±0.50)분,C 조(2.21±0.42)분,조간차이유통계학의의(H=7.790,P=0.022)。도상평분적 Kappa 치：A 조0.693,B 조0.687,C 조0.672。(2)불량반응：A 조4례(12.12%),B조3례(9.09%),C 조2례(6.06%),차이무통계학의의(χ2=0.733,P =0.693)。결론3충농도적비리자형전대비제균가응용우HSG。전농도월고,도상대비도월호。
Objective To compare the image quality and adverse effects among different concentrations of nonionic iodinated con-trast media in hysterosalpingography (HSG).Methods 99 female infertile patients were recruited in this study for HSG and were averagely divided into Group A,B and C.The application of contrast media were as follows:iomeprol injection(400 mg I/mL)for Group A,iopamidol injection (370mg I/mL)for Group B,iohexol injection(300 mg I/mL)for Group C.The image quality was in-dependently evaluated by two doctors using a 3-point scale (1 -3 score)and adverse effects were recorded.Results (1 )Scores of image quality:all images met diagnostic desire with (2.55±0.5 1)score in Group A,(2.42±0.50)score in Group B,(2.21±0.42) score in Group C.There were statistically significant differences among goups(H =7.790,P =0.022).Kappa values were 0.693 in Group A,0.687 in Group B,0.672 in Group C.(2)Adverse effects:4 cases in Group A(12.12%),3 cases in Group B(9.09%), 2 cases in Group C(6.06%),which showed no statistically significant differences(χ2 = 0.733,P =0.693).Conclusion The three kinds of concentrations of nonionic iodinated contrast media can all be applied in HSG.The higher of iodinated concentration,the better of image contrast.