CAJ | 학술논문

目的：探讨碘普罗胺造影在诊断女性不孕症中的应用。方法对549例不孕症妇女进行碘普罗胺子宫输卵管造影，根据 X 线影像表现分析造影结果。结果少数民族原发不孕中子宫发育不良的患病率显著高于汉族；梗阻因素在输卵管不通原因中占首位，其次为积水和伞端重度粘连；92.3%的不孕症患者患有慢性盆腔炎；碘普罗胺子宫输卵管造影可根据需要增加对比剂剂量。结论子宫发育不良具有一定的民族差异，输卵管不孕因素中梗阻最常见，碘普罗胺对比剂应用于子宫输卵管造影安全性高。
목적：탐토전보라알조영재진단녀성불잉증중적응용。방법대549례불잉증부녀진행전보라알자궁수란관조영，근거 X 선영상표현분석조영결과。결과소수민족원발불잉중자궁발육불량적환병솔현저고우한족；경조인소재수란관불통원인중점수위，기차위적수화산단중도점련；92.3%적불잉증환자환유만성분강염；전보라알자궁수란관조영가근거수요증가대비제제량。결론자궁발육불량구유일정적민족차이，수란관불잉인소중경조최상견，전보라알대비제응용우자궁수란관조영안전성고。
Objective To investigate the application of hysterosalpingography (HSG)with iopromide in diagnosing female infer-tility.Methods 549 infertile women had performed HSG with iopromide,and X-ray images were analyzed retrospectively.Results Prevalence of uterine hypoplasia in primary infertility was higher in the minority than in the ethnic Han.Tubal obstruction was more common than hydrosalpinx and severe fimbria adhension.92.3% of the infertile women had pelvic inflammation disease.The dose of iopromide could be increased in need.Conclusion Prevalence of uterine hypoplasia is different as ethnic difference.Obstruction is the most common factor in tubal infertility.It is safe to use iopromide in HSG.