CAJ | 학술논문

目的:碘海醇属非离子造影剂,通过改良加压法加大剂量注射碘海醇,进行子宫输卵管造影(HSG),检查和治疗输卵管阻塞性不孕症,提高输卵管阻塞再通率和受孕率.方法:选择经常规子宫输卵管造影确诊存在输卵管阻塞性不孕症的患者263例,在无麻醉下常规子宫腔内一次性导尿管插管,使用Zentith-1710自动推注系统,加压加大剂量向子宫腔内注射碘海醇进行子宫输卵管治疗性造影.与常规子宫输卵管造影后的受孕率比对分析.结果:经改良加压法注射碘海醇进行子宫输卵管治疗性造影检查,双侧输卵管通畅136例,占51.7%.一年后随访,有128例成功受孕,占48.7%.结论:改良加压、大剂量注射碘海醇检查和治疗输卵管阻塞性不孕症,较常规子宫输卵管造影治愈率明显提高,有较高的实用推广价值.
목적:전해순속비리자조영제,통과개량가압법가대제량주사전해순,진행자궁수란관조영(HSG),검사화치료수란관조새성불잉증,제고수란관조새재통솔화수잉솔.방법:선택경상규자궁수란관조영학진존재수란관조새성불잉증적환자263례,재무마취하상규자궁강내일차성도뇨관삽관,사용Zentith-1710자동추주계통,가압가대제량향자궁강내주사전해순진행자궁수란관치료성조영.여상규자궁수란관조영후적수잉솔비대분석.결과:경개량가압법주사전해순진행자궁수란관치료성조영검사,쌍측수란관통창136례,점51.7%.일년후수방,유128례성공수잉,점48.7%.결론:개량가압、대제량주사전해순검사화치료수란관조새성불잉증,교상규자궁수란관조영치유솔명현제고,유교고적실용추엄개치.
Objective:Iohexol is a nonionic contrast medium which can be used in the Modified pressure method of hysterosalpingograph(HSG). But the dose of iohexol was increased when injection.The modified pressure method of HSG widely used in the detection and treatment of tubal obstruction infertility and largely improved tubal occlusion recanalization rate and pregnancy rate. Methods:The presence of tubal obstruction infertility patients diagnosed by conventional hysterosalpingography 263 cases, no anesthesia, routine uterine disposable catheter intubation, using Zentith-1710 automatic bolus system, pressure to increase the dose would like to uterine cavity injection of iohexol the hysterosalpingography treatment contrast, and then analysed and compared with the pregnancy rate with conventional hysterosalpingography. Results:Modified pressure method of hysterosalpingograph (HSG) with injection of iohexol in examining and treatment of tubal obstruction infertility, 136 cases of tubal were recanalizationed, accounting for 51.7%. After one year follow-up, 128 cases of whom were successful pregnancy, accounting for 48.7%.Conclusion:Compared with conventional hysterosalpingography (HSG), Modified pressure method of HSG with high-dose injection of iohexol significantly improved the recovery rate when using HSG in examining and treatment of tubal obstruction infertility.