碘海醇在子宫输卵管造影中的应用.docVIP

精品论文 参考文献 碘海醇在子宫输卵管造影中的应用 龙伟(罗江县人民医院放射科 四川罗江 618500) 【中图分类号】R711.76 【文献标识码】A【文章编号】1672-5085（2013）28-0021-02 【摘要】 目的 通过运用碘海醇造影剂对135例不孕女性患者行子宫输卵管造影术（HSG），探讨碘海醇造影剂的临床应用价值。 方法 患者膀胱截石位，采用一次性带有气囊的双腔子宫造影导管，向子宫腔推注碘海醇（300mg/ml）15ml。结果 本组135例中子宫输卵管表现正常35例，占25.9%；双侧输卵管堵塞40例，占29.6%；单侧输卵管堵塞38例，占28.1%；子宫腔粘连16例，占11.8%，其中合并输卵管堵塞有7例；先天变异6例，占4.4%。结论 子宫输卵管造影选择碘海醇作为造影剂时，不良反应少，安全系数高，成像速度快，能及时显示子宫、输卵管的形态，病变部位及输卵管通畅情况。 【关键词】碘海醇 子宫输卵管造影术 Iohexol Application in the Hysterosalpingography Department of Radiology of Luojiang Peoples Hospital Luojiang DeYang Sichuan 618500 LongWei 【Abstract】 Objective To explore the iohexol contrast agents in clinical application, 135 infertile women have been treated with hysterosalpingography (HSG) through using iohexol.Technique Injecting iohexol (300mg/ml) 15ml to patients at the position of the bladder lithotomy, and the uterine catheter with a balloon to disposable uterine cavity.Outcome Among the 135 cases of this group, 35 cases of the uterine tubal have shown normal, accounting for 25.9%; 40 cases of the bilateral tubal obstruction , accounting for 29.6%; 38 cases of the unilateral tubal obstruction, accounting for 28.1%; 16 cases of the uterine cavity adhesion, accounting for 11.8%, and 7 cases among them with the obstruction of the fallopian tube; 6 cases of the congenital variation, accounting for 4.4%.Conclusion When iohexol is selected as a contrast agent in the hysterosalpingography, it has less adverse reaction, high safety coefficient, fast imaging, which can show the uterus, coefficient, fast imaging, which can show the uterus, allopian tube shape, site of lesion and tubal patency in time. 【key word】 Iohexol Hysterosalpingography. 近年来，不孕症的发病率不断升高，其中女性因素占60%，输卵管因素又占女性不孕病因53.8%，在继发不孕中输卵管因素占72%[1]。子宫输卵管造影术（HSG）是检查子宫、输卵管疾病的常用方法，对判断子宫输卵管先天异常或继发后天疾病所致的不孕具有非常重要的价值，尤其对输卵管阻塞有准确的诊断，并且具有一定的治疗作用，因此临床较常用此检查方法。子宫输卵管造影最初使用造影剂多为碘化油，90年代以后多用泛影葡胺，逐步水溶性造影剂取代了油性造影剂。目前，我院应用碘海醇（300mg/ml）非离子水溶性造影剂行子宫输卵管造影135例，显影效果良好，满足临床诊断，现回顾性分析该