中华消化病与影像杂志(电子版)
中華消化病與影像雜誌(電子版)
중화소화병여영상잡지(전자판)
2015年
4期
4-7
,共4页
张书芬%李勃%梁慧%弓翠屏%姜庆军
張書芬%李勃%樑慧%弓翠屏%薑慶軍
장서분%리발%량혜%궁취병%강경군
数字减影血管造影%子宫输卵管造影%输卵管阻塞性不孕症
數字減影血管造影%子宮輸卵管造影%輸卵管阻塞性不孕癥
수자감영혈관조영%자궁수란관조영%수란관조새성불잉증
Digital subtraction angiography%Hysterosalpingography%Fallopian tube obstruction infertility
目的:比较数字减影血管造影(DSA)与常规造影对输卵管阻塞性不孕症的临床应用价值。方法选择2012年7月至2013年7月济南军区总医院收治的306例输卵管阻塞性不孕症患者,随机分为2组,每组各153例,分别行DSA与常规造影。比较2组患者输卵管插管、造影成功率、妊娠率。结果2组患者输卵管插管、造影成功率均为100%,无一例发生严重并发症。DSA组患者复查输卵管再通成功率为85.6%(131/153),高于常规造影组患者复查输卵管再通成功率81.0%(124/153),但差异无统计学意义(χ2=4.021,P=0.153)。DSA 组患者2~6个月自然受孕率为37.5%(42/112),高于常规造影组患者2~6个月自然受孕率23.2%(23/99),且差异有统计学意义(χ2=4.142,P=0.043)。未受孕患者经促排卵药物干预2~6个月自然受孕率 DSA 组为87.1%(61/70),高于常规造影组的67.1%(51/76),且差异有统计学意义(χ2=6.879,P=0.018)。结论利用DSA行子宫输卵管造影较常规造影治疗效果明显,不良反应少,并具有一定的临床价值。
目的:比較數字減影血管造影(DSA)與常規造影對輸卵管阻塞性不孕癥的臨床應用價值。方法選擇2012年7月至2013年7月濟南軍區總醫院收治的306例輸卵管阻塞性不孕癥患者,隨機分為2組,每組各153例,分彆行DSA與常規造影。比較2組患者輸卵管插管、造影成功率、妊娠率。結果2組患者輸卵管插管、造影成功率均為100%,無一例髮生嚴重併髮癥。DSA組患者複查輸卵管再通成功率為85.6%(131/153),高于常規造影組患者複查輸卵管再通成功率81.0%(124/153),但差異無統計學意義(χ2=4.021,P=0.153)。DSA 組患者2~6箇月自然受孕率為37.5%(42/112),高于常規造影組患者2~6箇月自然受孕率23.2%(23/99),且差異有統計學意義(χ2=4.142,P=0.043)。未受孕患者經促排卵藥物榦預2~6箇月自然受孕率 DSA 組為87.1%(61/70),高于常規造影組的67.1%(51/76),且差異有統計學意義(χ2=6.879,P=0.018)。結論利用DSA行子宮輸卵管造影較常規造影治療效果明顯,不良反應少,併具有一定的臨床價值。
목적:비교수자감영혈관조영(DSA)여상규조영대수란관조새성불잉증적림상응용개치。방법선택2012년7월지2013년7월제남군구총의원수치적306례수란관조새성불잉증환자,수궤분위2조,매조각153례,분별행DSA여상규조영。비교2조환자수란관삽관、조영성공솔、임신솔。결과2조환자수란관삽관、조영성공솔균위100%,무일례발생엄중병발증。DSA조환자복사수란관재통성공솔위85.6%(131/153),고우상규조영조환자복사수란관재통성공솔81.0%(124/153),단차이무통계학의의(χ2=4.021,P=0.153)。DSA 조환자2~6개월자연수잉솔위37.5%(42/112),고우상규조영조환자2~6개월자연수잉솔23.2%(23/99),차차이유통계학의의(χ2=4.142,P=0.043)。미수잉환자경촉배란약물간예2~6개월자연수잉솔 DSA 조위87.1%(61/70),고우상규조영조적67.1%(51/76),차차이유통계학의의(χ2=6.879,P=0.018)。결론이용DSA행자궁수란관조영교상규조영치료효과명현,불량반응소,병구유일정적림상개치。
Objective To explore the application of conventional hysterosalpingography and digital subtraction angiography (DSA)in fallopian tube obstruction infertility.Methods Three hundred and six patients with fallopian tube obstruction infertility in Ji′nan Military General Hospital from July 2012 to July 2013 were enrolled in the study.All patients who recieved the same treatment were randomly divided into 2 groups,and DSA and conventional angiography were applied in different group respectively.According to comparative study and follow up review,the success rate of intubation and angiographic and pregnancy rate were evaluated.Results The success rate of fallopian intubation and angiography in the two groups was 100%,without any severe complications.The recanalization success rate was 85.6%(131/153)and 81.0%(124/153)in DSA group and conventional angiography group,respectively,but the difference was not statistically significant (χ2 =4.021,P=0.153).Natural pregnancy rate of DSA group in 2-6 months was 37.5%(42/112)and 23.2%(23/99)in conventional angiography group,and there was a significant difference (χ2 =4.142,P=0.043).For those who did not conceive by natural within 6 months,natural pregnancy rate was observed with the intervention of ovulation drug as 87.1% (61/70)in DSA group and 67.1% (51/76)in conventional angiography group respectively in 2-6 months.The ratio of DSA group was significantly higher than that of conventional angiography group (χ2 =6.879,P=0.018).Conclusion There are obvious theraputic effects and fewer adverse reactions for hysterosalpingography with DSA and which proves some clinical values.