75例子宫输卵管碘油造影的临床报告

为进一步了解输卵管的形态及病变以便了解其与不孕的关系,有助于不孕的诊治。本文总结了1995年1月1日～1998年12月31日女性不孕门诊的428例患者中进行X线子宫输卵管碘油造影术75例,其中73例造影成功。采用F99-Ⅰ型X线摄影机碘油子宫输卵管造影。结果:73例中双侧输卵管完全通畅者5例;单侧输卵管通畅另一侧通而不畅者11例(15.10％)。如以单条输卵管为单位计算则21条输卵管通畅(14.39％),通而不畅者107条(73.3％)、输卵管完全堵塞者18条(12.33％)。24小时摄平片显示造影剂均匀散布于盆腔者40例(54.80％)、不均匀散开者24例(32.90％),盆腔内末见碘化油者9例(12.33％)。讨论:本文受术者中仅有5例患者其输卵管完全正常。9例完全堵塞,其他59例均为通而不畅。如依输卵管单位则正常输卵管为21条(14.39％),其异常率高(85.62％)。原因与适应证的选择有关,如输卵通液结果不通或不畅者、既往有盆腔炎、附件炎、人工流产、自然流产、不全流产、宫外孕等病史,或既往有月经期性交史者等,或妇科检查发现有盆腔炎经治疗者。本文对碘油造影之优缺点进行了分析,造影不单对输卵是否通畅得以诊断,而且对形态、不通的部位、程度加以了解,不但用于诊断还可进一步对治疗提出建议,此外还有分离粘连之作用。

A Clinical Study of 75 Cases of Hysterosalpingraphy with Iodized Oil

An Analyses of 75 cases of hysterosalpingography in 428 cases of women suffered from sterility and infertility from Jan 1" ,1995 to Dec. 31" ,1998 were Conductect. The aim is try to find out the morphdogy and pathogenesis of tubes in relction to the sterility, and search for treatment of the later. The procedure of hysterosalpingography was taken place in 3 - 7 days after menstration. Cases were selected for those who has no diseases of important organs ,no acute or subacute inflammation of genital organs,but may have chronic inflammation which has been treated,and with negative test of iodine sensitivity. Result here were 5 cases(6. 85%)with normal tubes,tubes were blocked in 9 cases (12. 33%), llcases with one tube clear, the unobstracted other partially obstructed, the rest of 48cases (96 tubes) were partially. Counting with one tube as a unit,there were totally 146 tubes,a-mong which only 21 tubes(14. 38%) were mormal,18 tubes were obstructed, rest of the 107 tubes were partially unobstracted. As to the spreading of iodized oil at 24 hrs after the 1st picture had been taken,that it showed the contract media were evenly spread in 40 cases (54. 8%),not evenly spread in 24 caese (32. 19%) ,no contrast media were seen in 9 cases. The reasons would be related to the indication for hysterosalpingography, because of the procedure were always done after abnormal tubal insufflation. History of varies kinds of abortions or dctopic pregnancy poor personal hygiene and inflammation used to be found under pelvic examination although treatments had been given. Conclusion , the benefit of hysterosalpingography was confirmed. The procedure was not only for diagnosis but also serves as a guidance for recanalization of the tubes,and so forth.