CAJ | 학술논문

目的分析不孕症患者子宫输卵管造影时对比剂逆流的X线征象，探讨其临床意义．方法总结37例子宫输卵管造影有逆流征象病例的X线征象，与临床病史资料进行对照．病例临床诊断均为不孕症患者，对比剂使用76％的复方泛影葡胺注射液或碘海醇注射液．结果所有病例中血管性逆流9例（24．3％），间质性逆流13例（35．1％），混合性逆流15例（40．5％）．诊刮结果3例为子宫内膜结核，2例为子宫内膜增生，28例为炎性病变，4例未见异常．结论子宫输卯管造影时发生逆流征象为临床诊断子宫内膜病变提供了主要依据，具有重要临床价值．
목적분석불잉증환자자궁수란관조영시대비제역류적X선정상，탐토기림상의의．방법총결37례자궁수란관조영유역류정상병례적X선정상，여림상병사자료진행대조．병례림상진단균위불잉증환자，대비제사용76％적복방범영포알주사액혹전해순주사액．결과소유병례중혈관성역류9례（24．3％），간질성역류13례（35．1％），혼합성역류15례（40．5％）．진괄결과3례위자궁내막결핵，2례위자궁내막증생，28례위염성병변，4례미견이상．결론자궁수묘관조영시발생역류정상위림상진단자궁내막병변제공료주요의거，구유중요림상개치．
Objective To analyze X-ray sign of the contrast agent reflux during hysterosalpingography in patients with infertility and discuss the clinical significance. Methods X-ray sign of the contrast agent reflux during hysterosalpingography in 37 cases were summarized and compared with those documented in clinical history data, All the cases were diagnosed as infertility in clinic and the contrast agent was 76% compound meglumine diatrizoate injection or ioherol injection.Results There were 9 cases of vascular reflux （24.3 % ） , 13 cases of interstitial reflux （35.1%） and 15 cases of mixed reflux （40.5%） in all the patients. The results of the curettage and diagnosis showed that 3 cases of endometrial tuberculosis ,2 cases of endometrial hyperplasia and 28 cases of inflammatory lesions were determined, and 4 cases of patients were abnormal. Conclusion The reflux sign during the hysterosalpingography can provide an important evidence for the diagnosis of endometrial lesions and has an important clinical value.