[1]周德秀,胡惠良,张同华,等. 通液诊疗仪碘水加压法子宫输卵管造影的临床应用[J].介入放射学杂志,2013,(01):71-074.
 ZHOU De? xiu,HU Hui? liang,ZHANG Tong? hua,et al. Hysterosalpingography with pressure injection of contrast agent under the control of hydraulic pressure diagnostic and therapeutic instrument: its clinical application[J].journal interventional radiology,2013,(01):71-074.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年01期
页码:
71-074
栏目:
临床研究
出版日期:
2013-01-25

文章信息/Info

Title:
 Hysterosalpingography with pressure injection of contrast agent under the control of hydraulic pressure diagnostic and therapeutic instrument: its clinical application
作者:
 周德秀 胡惠良 张同华 董伟华 刘 胜 辛利达
Author(s):
 ZHOU De?蛳 xiu HU Hui?蛳 liang ZHANG Tong?蛳 hua DONG Wei?蛳 hua LIU Sheng XIN Li?蛳 da.
 Department of Radiology, First People’s Hospital, Zhangjiagang City, Jiangsu Province 215600, China
关键词:
 【关键词】 不孕症 子宫输卵管造影 输卵管再通 通液诊疗仪
文献标志码:
A
摘要:
 【摘要】 目的 探讨通液诊疗仪碘水加压法子宫输卵管造影(HSG)的临床价值。方法 对103例不孕患者行HSG检查,对比剂为48%碘海醇,采用通液诊疗仪,逐渐增加子宫腔内压力,对阻塞输卵管行压力钝性疏通,疏通后行输卵管通液术。结果 子宫输卵管正常17例,子宫异常6例,80例共151条输卵管阻塞,128条获管腔再通,再通率达84.8%,其中左侧输卵管开通的平均压力为24 kPa,对比剂进入盆腔的平均压力为25.3 kPa;右侧输卵管开通的平均压力为28.4 kPa,对比剂进入盆腔的平均压力为28.6 kPa;压力达50 kPa以上仍未开通的23条。开通后手推通液阻力明显下降45例、轻度下降30例、不下降5例。术中出现静脉逆流3例,局部疼痛56例,少量阴道流血50例,无盆腔感染或输卵管穿孔发生。结论通液诊疗仪碘水加压法HSG能清楚显示子宫及输卵管通畅情况,对阻塞输卵管能有效地进行压力疏通,同时具有压力量化、简单易行、安全可控等特点,值得推广应用。

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备注/Memo

备注/Memo:
 (收稿日期:2012-08-03)
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