中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
19期
46-47,48
,共3页
子宫输卵管造影%腹痛%返流%阻力
子宮輸卵管造影%腹痛%返流%阻力
자궁수란관조영%복통%반류%조력
Hystero-salpingography%Abdominal pain%Reflux%Resistance
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。
目的：探討子宮輸卵管造影診斷不孕癥的臨床應用價值。方法：選取2010年3月-2013年7月筆者所在醫院收治的行子宮輸卵管造影的120例患者，所有患者均採用X線片觀察造影劑流經子宮輸卵管情況併攝片，觀察術中患者的腹痛癥狀、註入造影劑時感覺到的阻力情況、造影劑用量以及造影劑返流情況等。結果：X線片結果顯示，120例患者中雙側通暢66例，單側通暢33例，雙側梗阻21例。雙側通暢患者的腹痛、阻力以及返流髮生率均明顯低于單側通暢和雙側梗阻患者，雙側通暢患者所用造影劑量明顯多于單側通暢和雙側梗阻患者，差異均有統計學意義(P<0.05)。結論：醫護人員可根據患者腹痛情況、是否有阻力感和造影劑的返流情況以及造影劑的用量，初步判斷輸卵管的通暢情況，與X線片結果結閤對于診斷輸卵管性不孕癥具有一定的診斷價值。
목적：탐토자궁수란관조영진단불잉증적림상응용개치。방법：선취2010년3월-2013년7월필자소재의원수치적행자궁수란관조영적120례환자，소유환자균채용X선편관찰조영제류경자궁수란관정황병섭편，관찰술중환자적복통증상、주입조영제시감각도적조력정황、조영제용량이급조영제반류정황등。결과：X선편결과현시，120례환자중쌍측통창66례，단측통창33례，쌍측경조21례。쌍측통창환자적복통、조력이급반류발생솔균명현저우단측통창화쌍측경조환자，쌍측통창환자소용조영제량명현다우단측통창화쌍측경조환자，차이균유통계학의의(P<0.05)。결론：의호인원가근거환자복통정황、시부유조력감화조영제적반류정황이급조영제적용량，초보판단수란관적통창정황，여X선편결과결합대우진단수란관성불잉증구유일정적진단개치。
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.
