CAJ | 학술논문

目的：探讨数字胃肠机下子宫输卵管碘佛醇造影的优缺点及临床应用价值。方法：回顾性分析600例女性不孕症患者的临床和影像资料，其中原发性不孕症患者183例，继发性417例。所有病例均在数字胃肠机电视透视下动态观察子宫输卵管的充盈、通畅情况，并进行数字化摄片，且在30 min后复查摄片。结果：子宫腔：正常556例，异常44例。输卵管：双侧通畅126例；双侧异常（通而不畅/欠畅、不通、梗阻积水及粘连包裹等）218例，单侧异常256例。子宫输卵管均正常121例。逆流38例，盆腔粘连216例。副反应42例（其中腹痛29例，恶心呕吐9例，胸闷咳嗽4例）。结论：数字胃肠机下子宫输卵管碘佛醇造影除了能保证影像质量和诊断结果外，而且安全、毒性小，副作用少，患者痛苦小及省时方便，值得应用。
목적：탐토수자위장궤하자궁수란관전불순조영적우결점급림상응용개치。방법：회고성분석600례녀성불잉증환자적림상화영상자료，기중원발성불잉증환자183례，계발성417례。소유병례균재수자위장궤전시투시하동태관찰자궁수란관적충영、통창정황，병진행수자화섭편，차재30 min후복사섭편。결과：자궁강：정상556례，이상44례。수란관：쌍측통창126례；쌍측이상（통이불창/흠창、불통、경조적수급점련포과등）218례，단측이상256례。자궁수란관균정상121례。역류38례，분강점련216례。부반응42례（기중복통29례，악심구토9례，흉민해수4례）。결론：수자위장궤하자궁수란관전불순조영제료능보증영상질량화진단결과외，이차안전、독성소，부작용소，환자통고소급성시방편，치득응용。
Objective:To discuss the advantage and disadvantage of hysterosalpingography(HSG)with ioversol under the digital gastrointestinal machine(DGIM),and to evaluate the clinical practice value.Method:600 cases of female infertility patients with clinical and imaging data were retrospectively analyzed and among them there were 183 cases primary infertility,417 cases secondary infertility. All patients were dynamically observed by TV fluoroscopy under DGIM to know the filling and unobstructed case of uterus and fallopian tube,and digital photography,and after 30 minutes in the X-ray film review.Result:Uterine cavity:556 cases were normal,44 cases were abnormal.126 cases of bilateral tubal were unobstructed;218 cases of bilateral tubal were abnormal(pass and poor/less,obstruction, hydrosalpinx and adhesion parcel),unilateral were 256 cases. Countercurrent were 38 cases. Pelvic adhesions were 216 cases. HSG were 121 cases of normal. There were 42 cases of side effects(including 29 cases of abdominal pain,9 cases of nausea and vomiting,4 cases of chest distress and cough).Conclusion:HSG with ioversol under DGIM can guarantee image quality and diagnostic result,with few side effects ,ioversol is safety,convenience,timesaving and less painful for patients.Therefore,it is worthy of application.